NPIMap

Individual provider Active NPI

Kailash C. Sharma, M.D.

  • Pulmonary Disease Physician
  • Oak Forest, IL
National Provider Identifier
1407855083
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036094003 Issued in IL
Practice address
6360 159TH St
Suite a-B
Oak Forest, IL 60452-2725
Phone
(708) 687-4620
Fax
(708) 687-4625
NPI assigned
Jul 18, 2005
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036094003 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036094003 IL
Pulmonary Disease Physician 207RP1001X 036094003 IL Primary

Addresses

Primary practice location

6360 159TH St
Suite a-B
Oak Forest, IL 60452-2725

Mailing address

6360 159TH St Ste a-B
Oak Forest, IL 60452-2725
Phone (708) 687-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6360 159TH St
Suite a B
Oak Forest, IL 60452-2725

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094003ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients
Primary Care Partners LLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kailash.sharma@147153.advancedmd-direct.com

Organizations & group practices 4

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

Hospital & facility affiliations 9

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1407855083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 159TH ST STE A-B",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522725",
            "telephone_number": "708-687-4620",
            "fax_number": "708-687-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 159TH ST",
            "address_2": "SUITE A-B",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522725",
            "telephone_number": "708-687-4620",
            "fax_number": "708-687-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "KAILASH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094003",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036094003",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036094003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.