NPIMap

Individual provider Active NPI

Sanjay Sharma, DO

  • Family Medicine Physician
  • Arnold, MO
National Provider Identifier
1447359492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110133 Issued in MO
Practice address
8 Arnold Mall
Arnold, MO 63010-2223
Phone
(636) 296-7510
Fax
(636) 296-4041
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 110133 MO Primary

Addresses

Primary practice location

8 Arnold Mall
Arnold, MO 63010-2223

Mailing address

8 Arnold Mall
Arnold, MO 63010-2223
Phone (636) 296-7510

Other identifiers 1

IdentifierTypeStateIssuer
209127802MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110519000406 MO Practitioner - Family Practice 4183800568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8 Arnold Mall
Arnold, MO 63010-2223
Phone (636) 296-7510

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110133MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Family Medicine LLC CurrentSince Dec 1, 1999 Accepting new patients

Locations

8 Arnold Mall
Arnold, MO 63010
Phone (636) 296-7510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGJGAA/Endpoint/GGJGAA
  • Direct secure messaging: sanjay.sharma@a.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447359492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ARNOLD MALL",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102223",
            "telephone_number": "636-296-7510",
            "fax_number": "636-296-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ARNOLD MALL",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102223",
            "telephone_number": "636-296-7510",
            "fax_number": "636-296-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SANJAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "110133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209127802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.