Organization Active NPI

Om Sharma MD PC

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1467475343
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD037664L Issued in PA
Legal business name
OM SHARMA MD PC
Practice address
2100 Lehigh St
Easton, PA 18042-3830
Phone
(610) 253-3551
Fax
(610) 250-1043
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Om Sharma, MDNPI 1467493734
Title
Owner
Phone
(610) 253-3551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD037664L PA Primary

Addresses

Primary practice location

2100 Lehigh St
Easton, PA 18042-3830

Mailing address

2100 Lehigh St
Easton, PA 18042-3830
Phone (610) 253-3551

Other identifiers 1

IdentifierTypeStateIssuer
1765887OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060313000606 PA Part B Supplier - Clinic/Group Practice 4880601061 Receives reassigned benefits from 2 practitioners
Practice locations: Bethlehem, PA; Easton, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1467475343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LEHIGH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423830",
            "telephone_number": "610-253-3551",
            "fax_number": "610-250-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LEHIGH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423830",
            "telephone_number": "610-253-3551",
            "fax_number": "610-250-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM SHARMA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "OM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-253-3551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037664L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1765887",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.