Sharma Medical, PLLC
Organization Active NPI Family Medicine Physician · Irving, NY
NPI 1457546400 · NPPES record last updated Feb 28, 2011
Key facts
- NPI
- 1457546400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SHARMA MEDICAL, PLLC
- Practice address
- 12657 Seneca Rd
Irving, NY 14081-9707 - Phone
- (716) 934-3319
- Fax
- (716) 934-3323
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Vishal Sharma, MD
- Title
- Single Member
- Phone
- (716) 934-3300
Practitioners 8
-
Nisha Sharma, MD
-
Lauren L Steinmetz, M.D.
-
Mandy Lynn Abram, RPA-C
-
Alicia Coppola Collins, PA-C
-
Jacqueline Karstedt, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1076080 | Sharma Medical PLLC | Certificate of waiver | Nov 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080310000398 | NY | Part B Supplier - Clinic/Group Practice | 2769567155 |
Receives reassigned benefits from 8 practitioners Practice locations: Irving, NY |
National Provider Directory
Locations
12657 Seneca Rd
Irving, NY 14081
Phone (716) 934-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
12657 Seneca Rd
Irving, NY 14081-9707
Mailing address
12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-3319
Other providers in Irving, NY
- Ramiah Sathananthan
- Robin S Schenk
- Seneca Nation of Indians
- Seneca Nation of Indians
- Seneca Nation of Indians
- Sharma Ophthalmology PLLC
- Nisha Sharma
- Vishal Sharma
- Janice Ren Shaver
- Sidney Emergency Physicians LLC
All providers in Irving, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.