Individual provider Active NPI

Muhammad M. Sharif, M.D.

  • Internal Medicine Physician
  • Villa Park, IL
National Provider Identifier
1831113851
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036045366 Issued in IL
Practice address
122 W Saint Charles Rd
Ste 4a
Villa Park, IL 60181-2437
Phone
(630) 682-0780
Fax
(630) 682-0781
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 036045366 IL Primary

Addresses

Primary practice location

122 W Saint Charles Rd
Ste 4a
Villa Park, IL 60181-2437

Mailing address

30 Skyline Dr
Lake Mary, FL 32746
Phone (321) 283-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080813000321 IL Practitioner - Internal Medicine 3072688860 Practice locations: Carol Stream, IL; Winfield, IL; Villa Park, IL; Wheaton, IL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1831113851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SKYLINE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "321-283-2229",
            "fax_number": "888-974-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SAINT CHARLES RD",
            "address_2": "STE 4A",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812437",
            "telephone_number": "630-682-0780",
            "fax_number": "630-682-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "MUHAMMAD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036045366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.