Organization Active NPI

Vimal Sharma MD Inc PS

  • Internal Medicine Physician
  • Richland, WA
National Provider Identifier
1861668121
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00032035 Issued in WA
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

Updated by the provider on May 6, 2008

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

Authorized official

Name
Vimal Sharma, MDNPI 1952468795
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1100825MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090622000280 WA Part B Supplier - Clinic/Group Practice 7416008016 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.