Gautam Sharma

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

317425 Issued in NY

Practice address

7218 164TH St
Fresh Meadows, NY 11365-4222

Phone

(718) 969-6640

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lefferts Medical Associates PCGroup PAC ID 6305839150, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
• New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Lefferts Medical Associates PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1700922150
  Medicare reassignment Care Compare group NPD
• Flushing Primary Care Associates, LLP

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flushing, NY
  • NPI 1568684660
  NPD (past)
• Instant Medical Care, PC

  • Urgent Care Clinic/Center
  • Massapequa, NY
  • NPI 1548535271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York Hospital Queens Ambulance

  • Land Ambulance
  • Flushing, NY
  • NPI 1295857092

  Hospital

  Care Compare affiliation
• New York-Presbyterian-Queens

  dba NYP-Queens Diagnostic Lab

  • Clinical Medical Laboratory
  • Flushing, NY
  • NPI 1053429274

  Hospital

  Care Compare affiliation
• Newyork-Presbyterian-Queens

  dba Transitional Care Unit

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1689958779

  Hospital

  Care Compare affiliation
• Newyork-Presbyterian-Queens

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1952347205
  Care Compare affiliation
• Visiting Nurse Service of New York Home Care II

  dba Visiting Nurse Service of New York Home Care

  • Home Health Agency
  • New York, NY
  • NPI 1528059805
  Care Compare affiliation

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1760043970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Doctors Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162148574",
            "country_code": "US",
            "telephone_number": "814-226-2500",
            "fax_number": "814-226-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "GAUTAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019545",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "317425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adel Shalaby, DPT
• Michael Shamayev, PHARM.D
• Shahid Shamim, PHYSICAL THERAPIST
• Xin Shao
• Henna Chaya Sharfman
• Farangiss Shaye
• Mohammad Amanullah Sheikh
• Daniella Shemtov
• Renuka Shetty-Das, MD
• Michelle Stephanie Sheyman, MD

• Family Medicine Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.

Verify at the official NPI Registry.