Individual provider Active NPI

Amit Sharma, MD

  • Colon & Rectal Surgery Physician
  • Erie, PA
National Provider Identifier
1629210836
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD450019 Issued in PA
Practice address
300 State St Ste 401
Erie, PA 16507-1438
Phone
(814) 877-8680
Fax
(814) 456-9613
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD450019 PA Primary

Addresses

Primary practice location

300 State St Ste 401
Erie, PA 16507-1438

Mailing address

2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Phone (850) 494-3749

Other practice location 1

2130 E Johnson Ave Ste 130
Pensacola, FL 32514-6065
Phone (850) 494-3749

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMIT.SHARMA@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131113001660 PA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6002042447 Reassigns benefits to 1 organization
I20190605002989 FL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 6002042447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Specialty Physicians LLCGroup PAC ID 6002943198, 17 clinicians

Practice addresses (Care Compare)

8333 N Davis Hwy
Pensacola, FL 32514-6050

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-3953

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450019PAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Oct 15, 2013 Accepting new patients
West Florida Specialty Physicians LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

2130 E Johnson Ave
Ste 130
Pensacola, FL 32514
Phone (850) 494-3749

300 State St
Ste 401
Erie, PA 16507
Phone (814) 877-4577

333 State St
Ste 103
Erie, PA 16507

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: amit.sharma@hca5.eclinicaldirectplus.com

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 4

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1629210836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E JOHNSON AVE STE 130",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146065",
            "telephone_number": "850-494-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071438",
            "telephone_number": "814-877-8680",
            "fax_number": "814-456-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 E Johnson Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146065",
            "country_code": "US",
            "telephone_number": "850-494-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2022-01-04",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD450019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMIT.SHARMA@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2130 E Johnson Ave Ste 130",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325146065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.