Sharanya Visakan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01083794A Issued in IN

Practice address

1 Family Practice Dr
Kingston, NY 12401-6449

Phone

(845) 338-6400

Fax

(845) 339-7288

NPI assigned

Jun 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 PracticeAlso: Emergency Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians

Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Level One Emergency Physicians LLC

  • Emergency Medicine Physician
  • Denison, TX
  • NPI 1528790193
  Medicare reassignment Care Compare group NPD
• Ies Central Texas PLLC

  • Emergency Medicine Physician
  • Hillsboro, TX
  • NPI 1003523002
  Medicare reassignment Care Compare group
• 24 Hour Physicians, Inc

  • Emergency Medicine Physician
  • Spring, TX
  • NPI 1396083424
  Medicare reassignment NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  Medicare reassignment NPD
• Ies Carrollton PLLC

  • Emergency Medicine Physician
  • Carrollton, TX
  • NPI 1134769789
  Medicare reassignment
• Level One Emergency Specialists LLC

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1427780097
  NPD
• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  NPD (past)

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

• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1780112979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014626",
            "telephone_number": "845-802-7600",
            "fax_number": "845-338-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016449",
            "telephone_number": "845-338-6400",
            "fax_number": "845-339-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISAKAN",
        "first_name": "SHARANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T0661",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01083794A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio R Vieira, MD, MS
• Jeffrey Scott Viglielmo, DDS
• Maureen Kelly Viglielmo, MS, DDS
• Chelsea Villalba
• Prince Viro Saez Villegas
• Vitae Health Medical New York PC
• Ashley Vitale, PA-C
• Brenda Ann Vitarius, CASAC-T
• William P. Voerg, RPH
• Alessandra Von Eikh

• Family Medicine Physician in Kingston, NY
• Providers in Kingston, 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 Jan 5, 2023; 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.