Active NPI
Prakash Punj Sharma, M.D.
- Internal Medicine Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-44666
- Practice address
- 3421 W 9TH St
Waterloo, IA 50702-5401 - Phone
- (319) 272-8000
- NPI assigned
- Jun 17, 2014
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-44666 | IA | Primary |
Addresses
Primary practice location
3421 W 9TH St
Waterloo, IA 50702-5401
Mailing address
225 Grand St Apt 227
Jersey City, NJ 07302-7457
Phone (347) 534-8371
Other practice location 1
8813 Waltham Woods Rd
Suite 204
Parkville, MD 21234-2450
Phone (410) 661-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3421 W 9TH St
Mercyone Waterloo Medical Center
Waterloo, IA 50702-5401
Phone (319) 272-7050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current | Accepting new patients |
Locations
751 Main St
Arlington, IA 50606
Phone (563) 633-6965
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- psharma3936301@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
dba MercyOne Oelwein Medical Center
- Critical Access Hospital
- Oelwein, IA
- NPI 1528009511
-
dba MercyOne Cedar Falls Medical Center
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831503937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GRAND ST APT 227",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027457",
"telephone_number": "347-534-8371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-8000"
}
],
"practiceLocations": [
{
"address_1": "8813 Waltham Woods Rd",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Parkville",
"state": "MD",
"postal_code": "212342450",
"country_code": "US",
"telephone_number": "410-661-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARMA",
"first_name": "PRAKASH",
"middle_name": "PUNJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD-44666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.