Organization Active NPI

Sharma Medical, PLLC

  • Family Medicine Physician
  • Irving, NY
National Provider Identifier
1457546400
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Vishal Sharma, MDNPI 1851494769
Title
Single Member
Phone
(716) 934-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12657 Seneca Rd
Irving, NY 14081-9707

Mailing address

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-3319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080310000398 NY Part B Supplier - Clinic/Group Practice 2769567155 Receives reassigned benefits from 8 practitioners
Practice locations: Irving, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1076080Sharma Medical PLLC12657 Seneca Road, Irving, NY 14081Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1457546400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12657 SENECA RD",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819707",
            "telephone_number": "716-934-3319",
            "fax_number": "716-934-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12657 SENECA RD",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819707",
            "telephone_number": "716-934-3319",
            "fax_number": "716-934-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARMA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "716-934-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.