Individual provider Active NPI

Aditya Sharma, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1659410322
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N3304 Issued in TX
Practice address
7777 Forest LN
Suite C833
Dallas, TX 75230-2505
Phone
(972) 566-4591
Fax
(972) 566-6679
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N3304 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X N3304 TX

Addresses

Primary practice location

7777 Forest LN
Suite C833
Dallas, TX 75230-2505

Mailing address

7777 Forest LN
Suite C 833
Dallas, TX 75230-2505
Phone (972) 566-4591

Other identifiers 2

IdentifierTypeStateIssuer
8R5013OtherTXBCBS OF TEXAS
3810003488MedicaidWV

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
I20091130000349 TX Practitioner - Psychiatry 2668406737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aditya Sharma, PLLCGroup PAC ID 6002146156, 5 clinicians

Practice addresses (Care Compare)

4201 Medical Ctr Dr
Suite 200
McKinney, TX 75069-1769
Phone (469) 742-0199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21933WVMDLicensed Practical Nurse
N3304TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aditya Sharma, PLLC Psychiatry CurrentSince Aug 3, 2019 Accepting new patients
FMRS Health Systems Inc PastSince Jan 13, 2013 Accepting new patients

Locations

4201 Medical Center Dr
Ste 200
McKinney, TX 75069
Phone (214) 934-9267

4510 Medical Center Dr
Ste 208
McKinney, TX 75069
Phone (214) 544-7555

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1659410322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C 833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ADITYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N3304",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N3304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8R5013",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003488",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.