Active NPI
Ninu Sharma, M.D
- Anatomic Pathology & Clinical Pathology Physician
- Caribou, ME
National Provider Identifier
1750678462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 018767
- Practice address
- 163 Van Buren Road
Cary Medical Center
Caribou, ME 04736-3588 - Phone
- (207) 498-3111
- NPI assigned
- Jul 1, 2011
- Last updated
- Oct 19, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 018767 | ME | Primary |
Addresses
Primary practice location
163 Van Buren Road
Cary Medical Center
Caribou, ME 04736-3588
Mailing address
213 Riverview Dr
Poughkeepsie, NY 12601-3937
Phone (631) 922-5496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002290001 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 476-6183
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
- St Francis Hospital - the Heart Center
- St Charles Hospital
- St Catherine of Siena Hospital
- John T Mather Memorial Hospital of Port Jefferson
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.61 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018767 | ME | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology and Laboratory Consultants of Long Island, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients |
Locations
6390 Fly Rd
East Syracuse, NY 13057
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- West Islip, NY
- NPI 1144212747
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1750678462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 RIVERVIEW DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013937",
"telephone_number": "631-922-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VAN BUREN ROAD",
"address_2": "CARY MEDICAL CENTER",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047363588",
"telephone_number": "207-498-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "NINU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "ME",
"license": "018767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "002290001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.