Individual provider Active NPI

Surendra Kumar Sharma, M.D

  • Psychiatry Physician
  • Louisville, TN
National Provider Identifier
1841516440
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46738 Issued in TN
Practice address
2347 Jones Bend Rd
Louisville, TN 37777-5213
Phone
(895) 970-9800
Fax
(865) 374-7129
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46738 TN Primary

Addresses

Primary practice location

2347 Jones Bend Rd
Louisville, TN 37777-5213

Mailing address

1451 Dowell Springs Blvd
Knoxville, TN 37909-2441
Phone (865) 374-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110915000280 TN Practitioner - Psychiatry 7315118726 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46738TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Hamblen Hospital Association CurrentSince Jun 15, 2013 Accepting new patients
Parkwest Medical Center CurrentSince Aug 6, 2011 Accepting new patients
Morristown Hamblen Hospital Association CurrentSince Jun 15, 2013 Accepting new patients

Locations

Dept 888563
Knoxville, TN 37995

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1451 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 374-7123

2347 Jones Bend Rd
Louisville, TN 37777
Phone (865) 373-8206

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Organizations & group practices 3

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1841516440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 DOWELL SPRINGS BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092441",
            "telephone_number": "865-374-7123",
            "fax_number": "865-374-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 JONES BEND RD",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377775213",
            "telephone_number": "895-970-9800",
            "fax_number": "865-374-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SURENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "46738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, TN

Sources for this page

Verify at the official NPI Registry.