Active NPI
Ishna Sharma
- Surgery Physician
- Dearborn, MI
National Provider Identifier
1396439386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5151016251
- Practice address
- 18101 Oakwood Blvd
Beaumont Hospital, Dearborn Medical Education
Dearborn, MI 48124 - Phone
- (832) 302-1468
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5151016251 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Beaumont Hospital, Dearborn Medical Education
Dearborn, MI 48124
Mailing address
18101 Oakwood Blvd
Beaumont Hospital, Dearborn Medical Education
Dearborn, MI 48124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230609000591 | MI | Order and Referring Only - General Surgery | 2365809126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1396439386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "BEAUMONT HOSPITAL, DEARBORN MEDICAL EDUCATION",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "BEAUMONT HOSPITAL, DEARBORN MEDICAL EDUCATION",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "832-302-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "ISHNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5151016251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.