Active NPI
Tarun K. Sharma, M.D.
- Gastroenterology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301055376
- Practice address
- 1535 Gull Rd
Suite 105
Kalamazoo, MI 49048-1650 - Phone
- (269) 385-9900
- Fax
- (269) 385-2140
- NPI assigned
- Apr 8, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301055376 | MI | Primary |
Addresses
Primary practice location
1535 Gull Rd
Suite 105
Kalamazoo, MI 49048-1650
Mailing address
1535 Gull Rd
Suite 105
Kalamazoo, MI 49048-1650
Phone (269) 385-9900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003910591 | Other | MA | BCBSM |
| 2930086 | Other | MA | PHP |
| P82302G00646 | Other | MI | BCN |
| 4575571 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KGH-DHC@direct.kalamazoogastro.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Gastroenterology | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients |
Locations
3770 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 441-1755
3770 Capital Ave SW
Ste C
Battle Creek, MI 49015
Phone (269) 441-1755
1535 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5927
1535 Gull Rd
Ste 150
Kalamazoo, MI 49048
Phone (269) 349-9745
1535 Gull Rd
Ste 105
Kalamazoo, MI 49048
Phone (616) 381-1433
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
Gastroenterology
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1790748077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "SUITE 105",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-385-9900",
"fax_number": "269-385-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "SUITE 105",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-385-9900",
"fax_number": "269-385-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "TARUN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301055376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1003910591",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "2930086",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P82302G00646",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4575571",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KGH-DHC@direct.kalamazoogastro.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1535 Gull Rd",
"address_2": "Suite 105",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490481650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.