Individual provider Active NPI

Sharda Mukunda, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1811256019
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262259 Issued in MA
Practice address
496 Flatbush Ave # C5
Brooklyn, NY 11225-3702
Phone
(267) 207-1051
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262259 MA Primary

Addresses

Primary practice location

496 Flatbush Ave # C5
Brooklyn, NY 11225-3702

Mailing address

546 Eastern Pkwy
Brooklyn, NY 11225-1604
Phone (267) 866-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA, NY, NC, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160621001984 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5193957538 Reassigns benefits to 1 organization
I20180830002248 PA Practitioner - Internal Medicine 5193957538 Reassigns benefits to 1 organization
I20210901001900 NY Practitioner - Internal Medicine 5193957538 Reassigns benefits to 1 organization
I20220323002077 NC Practitioner - Internal Medicine 5193957538 Reassigns benefits to 1 organization
I20260115001114 MI Practitioner - Internal Medicine 5193957538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Brooklyn, NY 11225-3706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252183MAMDNurse Practitioner
310974NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jul 1, 2021 Accepting new patients
Advantagecare Physicians PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine CurrentSince Aug 13, 2018 Accepting new patients
Cityblock Medical Practice, P.a. Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Dedicated Pennsylvania Holding, LLC Internal Medicine Current Accepting new patients
Dedicated Pennsylvania Holding, LLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

4444 The Plaza
Unit 18
Charlotte, NC 28215

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

2101 W Lehigh Ave
Ste A
Philadelphia, PA 19132
Phone (267) 866-7211

5675 N Front St
Ste 141
Philadelphia, PA 19120
Phone (267) 338-3411

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: sharda.mukunda.1@27775.direct.athenahealth.com

Organizations & group practices 6

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1811256019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251604",
            "telephone_number": "267-866-7211",
            "fax_number": "508-276-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 FLATBUSH AVE # C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253702",
            "telephone_number": "267-207-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKUNDA",
        "first_name": "SHARDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.