Organization Active NPI

Ravinder K Sharma MD PLLC

  • Neurology Physician
  • Battle Creek, MI
National Provider Identifier
1871811240
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301056788 Issued in MI
Legal business name
RAVINDER K SHARMA MD PLLC
Practice address
601 S Shore Dr
Suite 330
Battle Creek, MI 49014-5440
Phone
(269) 964-1300
Fax
(269) 964-9493
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Ravinder K Sharma, MD
Title
Owner
Phone
(269) 964-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 4301056788 MI Primary

Addresses

Primary practice location

601 S Shore Dr
Suite 330
Battle Creek, MI 49014-5440

Mailing address

601 S Shore Dr
Suite 330
Battle Creek, MI 49014-5440
Phone (269) 964-1300

Other identifiers 2

IdentifierTypeStateIssuer
0130141OtherMIBLUE CROSS BLUE SHIELF
4475208MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1871811240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SHORE DR",
            "address_2": "SUITE 330",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145440",
            "telephone_number": "269-964-1300",
            "fax_number": "269-964-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SHORE DR",
            "address_2": "SUITE 330",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145440",
            "telephone_number": "269-964-1300",
            "fax_number": "269-964-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER K SHARMA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-964-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301056788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELF",
            "identifier": "0130141",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4475208",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.