Organization Active NPI

Sushil K Sharma MD SC

  • Cardiovascular Disease Physician
  • Skokie, IL
National Provider Identifier
1346563921
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036049977 Issued in IL
Legal business name
SUSHIL K SHARMA MD SC
Practice address
9701 Knox Ave Ste 103
Skokie, IL 60076-1256
Phone
(847) 933-6040
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sushil K Sharma, M.D. SC
Title
President
Phone
(847) 399-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 036049977 IL Primary

Addresses

Primary practice location

9701 Knox Ave Ste 103
Skokie, IL 60076-1256

Mailing address

9600 Gross Point Rd
Skokie, IL 60076-1214
Phone (847) 933-6040

Other identifiers 1

IdentifierTypeStateIssuer
036049977MedicaidIL

National Provider Directory

National Provider Directory

Locations

333 Busse Hwy
Unit 1418
Park Ridge, IL 60068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1346563921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-933-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 KNOX AVE STE 103",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761256",
            "telephone_number": "847-933-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHIL K SHARMA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-399-6167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. SC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036049977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049977",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.