Bansi D. Sharma, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036051949 Issued in IL

Practice address

17577 South Kedzie Ave
Suite 109
Hazel Crest, IL 60429

Phone

(708) 799-1780

Fax

(708) 957-5150

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

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

• Tanjeev Kaur, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hazel Crest, IL
  • NPI 1639123458
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bansi.D.Sharma MD SC

  • Cardiovascular Disease Physician
  • Hazel Crest, IL
  • NPI 1043549579
  NPD (past) Authorized official
• Podiatric Management Systems LLC

  • Primary Podiatric Medicine Podiatrist
  • Lake Zurich, IL
  • NPI 1396968053
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1477507291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17577 SOUTH KEDZIE AVE",
            "address_2": "SUITE 109",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1780",
            "fax_number": "708-957-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17577 SOUTH KEDZIE AVE",
            "address_2": "SUITE 109",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-1780",
            "fax_number": "708-957-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "BANSI",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036051949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051949",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Internal Medicine & Wellness Center
• SFZ Corporation
• Kumudchandra S Shah, MD
• Neilesh Shah, MD
• Vipuj A Shah, MD
• Bhanoo Sharma, M.D.
• Primla K. Sharma, M.D.
• Rekha Sharma, M.D.
• Cheryl Shelby, PT
• Diamond Dawn Shepard, LMT

• Cardiovascular Disease Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.