Individual provider Active NPI

Sudarshan K Sharma, MD

  • Gynecologic Oncology Physician
  • Hinsdale, IL
National Provider Identifier
1740265974
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
036054912 Issued in IL
Practice address
121 N Elm St
Hinsdale, IL 60521-3703
Phone
(630) 856-6757
Fax
(630) 887-1668
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 36054912 IL
Gynecologic Oncology Physician 207VX0201X 036054912 IL Primary

Addresses

Primary practice location

121 N Elm St
Hinsdale, IL 60521-3703

Mailing address

121 N Elm St
Hinsdale, IL 60521-3703
Phone (630) 856-6757

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Other identifiers 1

IdentifierTypeStateIssuer
036054912MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050822001323 IL Practitioner - Gynecological OncologyPractitioner - Surgical OncologyPractitioner - Obstetrics/Gynecology 3274564034 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology, Surgical Oncology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahp Specialty Care NFPGroup PAC ID 9931491107, 32 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-6990

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-5614

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36054912ILMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jun 4, 2024 Accepting new patients
Ahp Specialty Care NFP CurrentSince Jul 1, 2024 Accepting new patients
University of Chicago CurrentSince Jun 4, 2024 Accepting new patients
Dr. Sudarshan K. Sharma, LTD. Gynecologic Oncology CurrentSince Jan 1, 2001 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 4, 2024 Accepting new patients
Loyola University Physician Foundation Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

121 N Elm St
Hinsdale, IL 60521
Phone (630) 601-7719

1 Salt Creek Ln
Ste 100
Hinsdale, IL 60521
Phone (630) 286-5500

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 6

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 5

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1740265974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N ELM ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213703",
            "telephone_number": "630-856-6757",
            "fax_number": "630-887-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N ELM ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213703",
            "telephone_number": "630-856-6757",
            "fax_number": "630-887-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SUDARSHAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "36054912",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IL",
            "license": "036054912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054912",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.