Active NPI
Nitin Kumar Sharma, MD
- Neurology Physician
- Saint Joseph, MO
National Provider Identifier
1699831222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2003028172
- Practice address
- 105 Far West Drive
Suite 201
St Joseph, MO 64506-3511 - Phone
- (816) 271-8182
- Fax
- (816) 271-8183
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2003028172 | MO | Primary |
Addresses
Primary practice location
105 Far West Drive
Suite 201
St Joseph, MO 64506-3511
Mailing address
105 Far West Drive
Suite 201
St Joseph, MO 64506-3511
Phone (816) 271-8182
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200629780A | Medicaid | KS | |
| 1699831222 | Medicaid | MO | |
| P00671527 | Other | MO | RR MEDICARE |
| 701000004 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Neurology | Past | Accepting new patients |
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 Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1699831222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FAR WEST DRIVE",
"address_2": "SUITE 201",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "645063511",
"telephone_number": "816-271-8182",
"fax_number": "816-271-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FAR WEST DRIVE",
"address_2": "SUITE 201",
"city": "ST JOSEPH",
"state": "MO",
"postal_code": "645063511",
"telephone_number": "816-271-8182",
"fax_number": "816-271-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "NITIN",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2003028172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200629780A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699831222",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00671527",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701000004",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.