Active NPI
Devendra M Sharma, M.D.
- General Practice Physician
- Garnerville, NY
National Provider Identifier
1811061211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 110559
- Practice address
- 66 Ramapo Rd
Garnerville, NY 10923-1718 - Phone
- (845) 947-2232
- Fax
- (845) 947-1339
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 110559 | NY | Primary |
Addresses
Primary practice location
66 Ramapo Rd
Garnerville, NY 10923-1718
Mailing address
66 Ramapo Rd
Garnerville, NY 10923-1718
Phone (845) 947-2232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00197686 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000400 | NY | Practitioner - General Practice | 9335333707 | Practice locations: Garnerville, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110559 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mickey P. Sharma, M.D. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Garnerville, NY
- NPI 1912316316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1811061211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 RAMAPO RD",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "109231718",
"telephone_number": "845-947-2232",
"fax_number": "845-947-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 RAMAPO RD",
"city": "GARNERVILLE",
"state": "NY",
"postal_code": "109231718",
"telephone_number": "845-947-2232",
"fax_number": "845-947-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "DEVENDRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "110559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00197686",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.