Active NPI
Jagmohan Sharma, M.D.
- Physical Medicine & Rehabilitation Physician
- Clinton Township, MI
National Provider Identifier
1578566832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4302073101
- Practice address
- 43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310 - Phone
- (586) 228-2882
- Fax
- (586) 463-7152
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4302073101 | MI | Primary |
Addresses
Primary practice location
43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310
Mailing address
43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310
Phone (586) 228-2882
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104083075 | Medicaid | MI | |
| 2505228341 | Other | MI | BCN |
| C6810 | Other | MI | M-CARE |
| JS073101 | Other | MI | BCBSM |
| 123905 | Other | MI | CARE CHOICES-PREFERRED |
| 250010321 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4302073101 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Past | Accepting new patients |
Interoperability endpoints
- jsharma236476@direct.hfhs.org
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.
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1578566832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43555 DALCOMA DR",
"address_2": "STE 4",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386310",
"telephone_number": "586-228-2882",
"fax_number": "586-463-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43555 DALCOMA DR",
"address_2": "STE 4",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386310",
"telephone_number": "586-228-2882",
"fax_number": "586-463-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "JAGMOHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4302073101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104083075",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "2505228341",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "C6810",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "JS073101",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES-PREFERRED",
"identifier": "123905",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250010321",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.