Individual provider Active NPI

Shiv K Sharma, MD

  • Interventional Pain Medicine Physician
  • Coppell, TX
National Provider Identifier
1518929397
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K6317 Issued in TX
Practice address
722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555
Phone
(972) 365-6255
Fax
(972) 393-1234
NPI assigned
Apr 5, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X K6317 TX Primary
Anesthesiology Physician 207L00000X K6317 TX

Addresses

Primary practice location

722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555

Mailing address

722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555
Phone (972) 365-6255

Other identifiers 1

IdentifierTypeStateIssuer
105629301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080128000717 TX Practitioner - Hospice/Palliative CarePractitioner - AnesthesiologyPractitioner - Interventional Pain Management 9133201296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

722 S Denton Tap Rd
Suite 190
Coppell, TX 75019-4555
Phone (972) 365-6255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6317TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Pain Care Associates, LLC CurrentSince May 7, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 8, 2014 Accepting new patients
Healthtexas Provider Network Anesthesiology CurrentSince Sep 8, 2014 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

722 S Denton Tap Rd
Ste 190
Coppell, TX 75019
Phone (972) 365-6255

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

Organizations & group practices 4

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

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1518929397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S DENTON TAP RD STE 190",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194555",
            "telephone_number": "972-365-6255",
            "fax_number": "972-393-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S DENTON TAP RD STE 190",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194555",
            "telephone_number": "972-365-6255",
            "fax_number": "972-393-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHIV",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K6317",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K6317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105629301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.