Individual provider Active NPI

Vishnu Kant Sharma, MD

  • Internal Medicine Physician
  • Lapeer, MI
National Provider Identifier
1407958440
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36505 Issued in MI
Practice address
3257 Davison Road
Lapeer, MI 48446-2909
Phone
(810) 664-4713
Fax
(810) 664-3503
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36505 MI Primary

Addresses

Primary practice location

3257 Davison Road
Lapeer, MI 48446-2909

Mailing address

3257 Davison Road
Lapeer, MI 48446-2909
Phone (810) 664-4713

Other identifiers 1

IdentifierTypeStateIssuer
2100613MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000546 MI Practitioner - Internal Medicine 5496940900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharma Clinic PLLCGroup PAC ID 4587859095, 2 clinicians

Practice addresses (Care Compare)

3257 Davison Rd
Lapeer, MI 48446-2581
Phone (810) 664-4713

3257 Davison Rd
Lapeer, MI 48446-2909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36505MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Clinic PLLC Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients

Locations

3257 Davison Rd
Ste 201
Lapeer, MI 48446

3257 Davison Rd
Lapeer, MI 48446
Phone (810) 664-4713

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLaren Lapeer RegionLapeer, MI, CCN 235577 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Mar 19, 2025
Mar 19, 2025
Mar 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1407958440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 DAVISON ROAD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462909",
            "telephone_number": "810-664-4713",
            "fax_number": "810-664-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 DAVISON ROAD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462909",
            "telephone_number": "810-664-4713",
            "fax_number": "810-664-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "VISHNU",
        "middle_name": "KANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "36505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.