Anjali Jain Sharma, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

49879-020 Issued in WI

Practice address

1215 George Towne Drive
Pewaukee, WI 53072-2731

Phone

(262) 691-3843

Fax

(262) 691-4287

NPI assigned

Dec 9, 2006

Sex

Female

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

Other names 1

• Anjali Jain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: asharma8229@direct.chw.org

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.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children'S Medical Group

  • Pediatrics Physician
  • Pewaukee, WI
  • NPI 1457662074
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1497815757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MAIL STATION 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE TOWNE DRIVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722731",
            "telephone_number": "262-691-3843",
            "fax_number": "262-691-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ANJALI",
        "middle_name": "JAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "49879-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497815757",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJALI",
            "last_name": "JAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anton John Sella, D.P.M.
• Amy L Setz, DPT
• Hemangini Shah, PHARMD
• Payal Shah, O.D.
• James E Shander, MD
• Shepherd Chiropractic Clinic S.C.
• Dean Scott Shepherd, D.C.
• Melissa Shera, DC
• Abigail Lynn Sherer
• Gary Shields, DPT

• Pediatrics Physician in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.