Individual provider Active NPI

Mokarroma Sharmin, M.D.

  • Family Medicine Physician
  • Wylie, TX
National Provider Identifier
1821263542
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U2320 Issued in TX
Practice address
2300 W FM 544 Ste 270
Wylie, TX 75098-4944
Phone
(469) 800-2100
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD440742 PA
Family Medicine Physician 207Q00000X U2320 TX Primary

Addresses

Primary practice location

2300 W FM 544 Ste 270
Wylie, TX 75098-4944

Mailing address

2300 W FM 544 Ste 270
Wylie, TX 75098-4944
Phone (469) 800-2100

Other identifiers 7

IdentifierTypeStateIssuer
30080261OtherPAAMERIHEALTH MERCY-WMG
968761OtherMDCAREFIRST MD BCBS
102497942MedicaidPA
P010715OtherPAGATEWAY-WMG
416127OtherPAUPMC-WMG
405102OtherPAUNISON-WMG
2518641OtherPAHIGHMARK BLUE SHIELD-WMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101104001207 PA Practitioner - Family Practice 6709070501 Reassigns benefits to 1 organization
I20231021000201 TX Practitioner - Family Practice 6709070501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2300 W FM 544
270 Baylor Scott White Primary
Wylie, TX 75098-4944
Phone (972) 442-4888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Aug 23, 2010 Accepting new patients
Wellspan Medical Group CurrentSince Aug 23, 2010 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 11, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

755 S Pleasant Ave
Dallastown, PA 17313
Phone (717) 851-1300

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2300 W FM 544
Ste 270
Wylie, TX 75098
Phone (972) 442-4888

Interoperability endpoints

  • Direct secure messaging: msharmin1220710@direct.sw.org
  • Direct secure messaging: msharmin13931@wellspan.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1821263542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 270",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984944",
            "telephone_number": "469-800-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 270",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984944",
            "telephone_number": "469-800-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMIN",
        "first_name": "MOKARROMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440742",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U2320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "30080261",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "968761",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102497942",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "P010715",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC-WMG",
            "identifier": "416127",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "405102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD-WMG",
            "identifier": "2518641",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.