Individual provider Active NPI

Tarun K. Sharma, M.D.

  • Gastroenterology Physician
  • Kalamazoo, MI
National Provider Identifier
1790748077
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301055376 Issued in MI
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

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003910591OtherMABCBSM
2930086OtherMAPHP
P82302G00646OtherMIBCN
4575571MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001190 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 4789574559 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Gastroenterology CurrentSince Jan 1, 2022 Accepting new patients
Promed Healthcare CurrentSince Jan 1, 2022 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.

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

Verify at the official NPI Registry.