Soorya K Sharma MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301065270 Issued in MI

Legal business name

SOORYA K SHARMA MD PC

Practice address

2660 44TH St SW
Suite 100
Wyoming, MI 49519-4200

Phone

(616) 974-9760

Fax

(616) 974-9769

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Soorya Kant Sharma, MDNPI 1538171913

Title

President

Phone

(616) 974-9760

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soorya Kant Sharma, MD

  • Family Medicine Physician
  • Wyoming, MI
  • NPI 1538171913
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1467464883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 FLOWERS MILL DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259694",
            "telephone_number": "616-361-3613",
            "fax_number": "616-361-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 44TH ST SW",
            "address_2": "SUITE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194200",
            "telephone_number": "616-974-9760",
            "fax_number": "616-974-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOORYA K SHARMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SOORYA",
        "authorized_official_middle_name": "KANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-974-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301065270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4467117",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.