Active NPI
Vimal Sharma MD Inc PS
- Internal Medicine Physician
- Richland, WA
National Provider Identifier
1861668121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00032035
- Legal business name
- VIMAL SHARMA MD INC PS
- Practice address
- 712 Swift Blvd
Suite 8
Richland, WA 99352-3578 - Phone
- (509) 943-5664
- Fax
- (509) 943-5443
- NPI assigned
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vimal Sharma, MD
- Title
- Owner
- Phone
- (509) 943-5664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00032035 | WA | Primary |
Addresses
Primary practice location
712 Swift Blvd
Suite 8
Richland, WA 99352-3578
Mailing address
712 Swift Blvd
Suite 8
Richland, WA 99352-3578
Phone (509) 943-5664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100825 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1100 Gillmore Ave
Richland, WA 99352
Phone (509) 943-5664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Richland, WA
- NPI 1952468795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1861668121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SWIFT BLVD",
"address_2": "SUITE 8",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523578",
"telephone_number": "509-943-5664",
"fax_number": "509-943-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SWIFT BLVD",
"address_2": "SUITE 8",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523578",
"telephone_number": "509-943-5664",
"fax_number": "509-943-5443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIMAL SHARMA MD INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "VIMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-943-5664",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00032035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1100825",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.