Active NPI
Chaksau Sharma, MD
- Family Medicine Physician
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LT15432
- Practice address
- 4600 W Loomis Rd Ste 130
Greenfield, WI 53220-4858 - Phone
- (414) 389-4900
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL13735 | ND | |
| Family Medicine Physician | 207Q00000X | LT15432 | ND | Primary |
Addresses
Primary practice location
4600 W Loomis Rd Ste 130
Greenfield, WI 53220-4858
Mailing address
4600 W Loomis Rd Ste 130
Greenfield, WI 53220-4858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12083 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5400
4935 S 76TH St
Suite 101
Greenfield, WI 53220-4305
Phone (414) 777-3100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT15432 | ND | MD | Family Medicine Physician |
| RL13735 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Family Medicine | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Sussex Famiily Practice Physical Therapy | Past | Accepting new patients | |
| Ascension All Saints Hospital, Inc | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
4600 W Loomis Rd
Ste 130
Greenfield, WI 53220
Phone (414) 389-4900
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
N64W24086 Main St
Sussex, WI 53089
Phone (262) 246-8009
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Family Medicine
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
Family Medicine
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Rehabilitation Hospital Unit
- Racine, WI
- NPI 1417966540
-
- Physical Therapist
- Sussex, WI
- NPI 1285682385
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- Home Health Agency
- Milwaukee, WI
- NPI 1003820861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1851774822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 W LOOMIS RD STE 130",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 W LOOMIS RD STE 130",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204858",
"telephone_number": "414-389-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "CHAKSAU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL13735",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "LT15432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12083",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.