Individual provider Active NPI

Vijay M Sharma, MD

  • Facial Plastic Surgery Physician
  • Jupiter, FL
National Provider Identifier
1356595268
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
ME96274 Issued in FL
Practice address
601 University Blvd Ste 201
Jupiter, FL 33458-2788
Phone
(561) 277-0699
NPI assigned
Nov 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 025413 LA
Facial Plastic Surgery Physician 207YS0123X ME96274 FL Primary

Addresses

Primary practice location

601 University Blvd Ste 201
Jupiter, FL 33458-2788

Mailing address

601 University Blvd Ste 201
Jupiter, FL 33458-2788
Phone (561) 277-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211001029 FL Practitioner - Otolaryngology 8628205986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breathe Free Sinus and Allergy Centers of Florida LLCGroup PAC ID 5799174116, 3 clinicians

Practice addresses (Care Compare)

4601 Spanish TRL
Pensacola, FL 32504-5039
Phone (850) 990-9407

Merit-based Incentive Payment System (MIPS)

Final score
76.39 of 100Reported as individual
Quality
52.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025413LAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Free Sinus & Allergy Centers of Florida LLC CurrentSince Feb 27, 2024 Accepting new patients

Locations

601 University Blvd
Ste 201
Jupiter, FL 33458
Phone (561) 277-0699

4601 Spanish Trl
Pensacola, FL 32504
Phone (850) 969-2001

Interoperability endpoints

  • Direct secure messaging: vsharma20846@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1356595268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-277-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-277-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "VIJAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "LA",
            "license": "025413",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME96274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.