Individual provider Active NPI

Kuldip Sharma, M.D.

  • Gastroenterology Physician
  • Middletown, OH
National Provider Identifier
1578541017
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35059854S Issued in OH
Practice address
255 N Breiel Blvd
Middletown, OH 45042-3807
Phone
(513) 422-5915
Fax
(513) 422-5101
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35059854S OH Primary

Addresses

Primary practice location

255 N Breiel Blvd
Middletown, OH 45042-3807

Mailing address

255 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 422-5915

Other identifiers 4

IdentifierTypeStateIssuer
P00010308OtherOHRRMC
000000232753OtherOHANTHEM
141120002OtherOHCARESOURCE
0835467MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110128000948 OH Practitioner - Gastroenterology 8729011655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Valley Gastroenterology Associates, Inc.Group PAC ID 5092748921, 3 clinicians

Practice addresses (Care Compare)

255 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 422-5915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.96 of 100Reported as group
Quality
62.93
Improvement activities
40
Cost
82.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059854SOHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Gastroenterology Associates, Inc. CurrentSince Aug 22, 2002 Accepting new patients
Allied Anesthesia Professionals LLC PastSince Jan 1, 2011 Accepting new patients

Locations

255 N Breiel Blvd
Middletown, OH 45042
Phone (513) 422-5915

Interoperability endpoints

  • Direct secure messaging: kuldipsharma@midvalleyg.allscriptsdirect.net

Organizations & group practices 2

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 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1578541017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-422-5915",
            "fax_number": "513-422-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-422-5915",
            "fax_number": "513-422-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "KULDIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35059854S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00010308",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000232753",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "141120002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0835467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.