Individual provider Active NPI

Kulbhushan K Sharma, M.D

  • Surgery Physician
  • Glendale, AZ
National Provider Identifier
1669564308
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22286 Issued in AZ
Practice address
5620 W. Thunderbird Rd,
D-2
Glendale, AZ 85306
Phone
(602) 547-2690
Fax
(602) 547-2623
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22286 AZ Primary

Addresses

Primary practice location

5620 W. Thunderbird Rd,
D-2
Glendale, AZ 85306

Mailing address

5620 W. Thunderbird Rd,
D-2
Glendale, AZ 85306
Phone (602) 547-2690

Other identifiers 1

IdentifierTypeStateIssuer
313726MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051019000543 AZ Practitioner - General Surgery 1759307754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kulbhushan K Sharma MD PCGroup PAC ID 2365691680, 5 clinicians

Practice addresses (Care Compare)

13065 W McDowell Rd
Suite A103
Avondale, AZ 85392-6440
Phone (602) 298-5476

1331 N 7TH St
Suite 170
Phoenix, AZ 85006-2711
Phone (602) 298-5476

5620 W Thunderbird Rd
D2
Glendale, AZ 85306-4636
Phone (602) 547-2690

5620 W Thunderbird Rd
Suite D2
Glendale, AZ 85306-4640

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22286AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kulbhushan K. Sharma MD, PC CurrentSince May 15, 1998 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations

2175 N Alma School Rd
Ste C102
Chandler, AZ 85224

5620 W Thunderbird Rd
Ste D2
Glendale, AZ 85306
Phone (602) 547-2690

10250 N 92nd St
Ste 203
Scottsdale, AZ 85258
Phone (480) 614-0460

15331 W Bell Rd
Ste 118
Surprise, AZ 85374
Phone (602) 547-1623

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669564308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W. THUNDERBIRD RD,",
            "address_2": "D-2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-547-2690",
            "fax_number": "602-547-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W. THUNDERBIRD RD,",
            "address_2": "D-2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "602-547-2690",
            "fax_number": "602-547-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "KULBHUSHAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "22286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313726",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.