NPIMap

Individual provider Active NPI

Sanjeev K. Sharma, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1366556839
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22539 Issued in NE
Practice address
10109 Maple St
Omaha, NE 68134-5554
Phone
(402) 572-3500
Fax
(402) 572-3505
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22539 NE Primary

Addresses

Primary practice location

10109 Maple St
Omaha, NE 68134-5554

Mailing address

10109 Maple St
Omaha, NE 68134-5554
Phone (402) 572-3500

Other identifiers 1

IdentifierTypeStateIssuer
098684412OtherNEMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000321 NE Practitioner - Family Practice 7517869761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

10109 Maple St
Omaha, NE 68134-5554
Phone (402) 572-3500

16909 Lakeside Hills CT
Omaha, NE 68130-4661

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

7710 Mercy Rd
Omaha, NE 68124-2323

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Creighton University Family Medicine Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Creighton University Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

10109 Maple St
Omaha, NE 68134
Phone (402) 572-3500

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

7909 N 30th St
Omaha, NE 68112
Phone (402) 280-4780

2734 N 61st St
Omaha, NE 68104
Phone (402) 553-0222

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: ssharma41048@achce.catholichealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1366556839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345554",
            "telephone_number": "402-572-3500",
            "fax_number": "402-572-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345554",
            "telephone_number": "402-572-3500",
            "fax_number": "402-572-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJEEV",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "098684412",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.