NPIMap

Individual provider Active NPI

Om Dutt Sharma, M.D.

  • Internal Medicine Physician
  • Englewood, FL
National Provider Identifier
1497798342
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074531 Issued in FL
Practice address
1885 Englewood Rd
Englewood, FL 34223-1822
Phone
(941) 475-8291
Fax
(941) 473-3609
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0074531 FL Primary
Internal Medicine Physician 207R00000X 01047666 IN

Addresses

Primary practice location

1885 Englewood Rd
Englewood, FL 34223-1822

Mailing address

144 Brandywine Cir
Englewood, FL 34223-1953
Phone (941) 475-1998

Other identifiers 1

IdentifierTypeStateIssuer
261847800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000211 FL Practitioner - Internal Medicine 6103865662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1885 Englewood Rd
Englewood, FL 34223-1822
Phone (941) 474-5829

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Residential Home Health of WC FL Home health agency, Venice, FL, CCN 108242
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • Aviata at Englewood Nursing home, Englewood, FL, CCN 105452

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0074531FLMDInternal Medicine Physician
01047666INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lemon Bay Physicians, P.a. CurrentSince Aug 1, 1999 Accepting new patients

Locations

1885 Englewood Rd
Englewood, FL 34223
Phone (941) 406-9030

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aviata at EnglewoodEnglewood, FL, CCN 105452 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 2, 2023
Nov 2, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1497798342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BRANDYWINE CIR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231953",
            "telephone_number": "941-475-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231822",
            "telephone_number": "941-475-8291",
            "fax_number": "941-473-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "OM",
        "middle_name": "DUTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074531",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261847800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.