Active NPI
Prashant Sharma, D.O
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1811211253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 009364
- Practice address
- 1400 W Lombard St Unit 691
Baltimore, MD 21223-3134 - Phone
- (443) 317-3114
- NPI assigned
- Mar 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO034630 | DC | |
| Aerospace Medicine Physician | 2083A0100X | 05-35327 | KS | |
| Psychiatry Physician | 2084P0800X | 009364 | AZ | Primary |
Addresses
Primary practice location
1400 W Lombard St Unit 691
Baltimore, MD 21223-3134
Mailing address
4531 N 16TH St Ste 114
Phoenix, AZ 85016-5344
Phone (602) 266-8700
Other practice location 1
7400 S Power Rd Ste 126114
Gilbert, AZ 85297-9281
Phone (602) 464-9576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-35327 | KS | MD | Aerospace Medicine Physician |
| 009364 | AZ | MD | Psychiatry Physician |
| DO034630 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
Interoperability endpoints
- prashantsharma@tdh.allscriptsdirect.net
- psharma147472@direct-guthrie.org
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1811211253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 N 16TH ST STE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165344",
"telephone_number": "602-266-8700",
"fax_number": "602-296-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W LOMBARD ST UNIT 691",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212233134",
"telephone_number": "443-317-3114"
}
],
"practiceLocations": [
{
"address_1": "7400 S Power Rd Ste 126114",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852979281",
"country_code": "US",
"telephone_number": "602-464-9576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "PRASHANT",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-14",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "DO034630",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "KS",
"license": "05-35327",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "009364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.