NPIMap

Individual provider Active NPI

Rishi Sharma, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1629598065
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14094 Issued in PR
Practice address
4474 Edgewater Dr
Orlando, FL 32804-1216
Phone
(407) 628-4545
Fax
(407) 637-5679
NPI assigned
Jun 27, 2017
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14094 PR Primary

Addresses

Primary practice location

4474 Edgewater Dr
Orlando, FL 32804-1216

Mailing address

4474 Edgewater Dr
Orlando, FL 32804-1216
Phone (407) 628-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000216 FL Practitioner - General Practice 0244667038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

4474 Edgewater Dr
Orlando, FL 32804-1216
Phone (407) 628-4545

7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin L. Pressley, D.O., PA CurrentSince Jun 1, 2021 Accepting new patients
Amzwellcloud General Practice CurrentSince Jun 1, 2021 Accepting new patients

Locations

260 Lookout Pl
Ste 107
Maitland, FL 32751
Phone (407) 314-2471

4474 Edgewater Dr
Orlando, FL 32804
Phone (407) 628-4545

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rishi.sharma.1@24764.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1629598065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-628-4545",
            "fax_number": "407-637-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-628-4545",
            "fax_number": "407-637-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RISHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.