Individual provider Active NPI

Rakesh Kumar Sharma, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ronkonkoma, NY
National Provider Identifier
1508942574
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
161670 Issued in NY
Practice address
360 Hawkins Ave
Ronkonkoma, NY 11779-4243
Phone
(631) 588-8393
Fax
(631) 588-2312
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 161670 NY Primary

Addresses

Primary practice location

360 Hawkins Ave
Ronkonkoma, NY 11779-4243

Mailing address

49 Cabriolet LN
Melville, NY 11747-1921
Phone (631) 367-1338

Other identifiers 1

IdentifierTypeStateIssuer
011-10154MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080809000070 NY Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9032283031 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Catherine of Siena Medical CenterGroup PAC ID 0941267876, 95 clinicians

Practice addresses (Care Compare)

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

National Provider Directory

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

Practice roles (14 of 18)

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical Critical Care Medicine CurrentSince Jan 1, 2013 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Jan 1, 2013 Accepting new patients
CHS Physician Partners, PC CurrentSince Aug 18, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Apr 17, 2013 Accepting new patients
CHS Physician Partners, P.C CurrentSince Aug 18, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2010 Accepting new patients
Physicians of University Hospital, PC CurrentSince Oct 1, 2010 Accepting new patients
St. Catherine of Siena Medical Center Past Accepting new patients
Staten Island Medical Intensivist PC Critical Care Medicine Past Accepting new patients
New York Community Hospital of Brooklyn, Inc. Past Accepting new patients

Locations

8417 Fort Hamilton Pkwy
Brooklyn, NY 11209
Phone (347) 497-5587

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

360 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 588-0880

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1508942574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CABRIOLET LN",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471921",
            "telephone_number": "631-367-1338",
            "fax_number": "631-588-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794243",
            "telephone_number": "631-588-8393",
            "fax_number": "631-588-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAKESH",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "161670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011-10154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.