Individual provider Active NPI

Ajay Sharma, D.O.

  • Emergency Medicine Physician
  • Des Moines, IA
National Provider Identifier
1891883328
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO06858 Issued in IA
Practice address
3200 Grand Ave
Des Moines, IA 50312-4104
Phone
(515) 271-1700
Fax
(515) 271-1726
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-112797 IL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 036112797 IL
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X DO06858 IA Primary

Addresses

Primary practice location

3200 Grand Ave
Des Moines, IA 50312-4104

Mailing address

3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-1700

Other practice location 1

3707 Doty Rd
Woodstock, IL 60098-7530
Phone (815) 338-6600

Other practice location 2

3S630 Glen Dr S
Warrenville, IL 60555-3506
Phone (630) 393-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MS, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050624000605 IL Practitioner - Emergency Medicine 8426947375 Reassigns benefits to 1 organization
I20151228001390 WI Practitioner - Emergency Medicine 8426947375 Reassigns benefits to 1 organization
I20230511000647 MS Practitioner - Emergency Medicine 8426947375 Reassigns benefits to 2 organizations
I20250108001663 IA Practitioner - Emergency Medicine 8426947375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Moines University Osteopathic Medical CenterGroup PAC ID 6002713443, 36 clinicians
Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians

Practice addresses (Care Compare)

3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 286-2090

Hospital & facility affiliations

  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO06858IAMDEmergency Medicine Physician
036-112797ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Mississippi Ed, LLC Multi-Specialty CurrentSince Apr 5, 2023 Accepting new patients
Watertown Physician Practices LLC Multi-Specialty CurrentSince Dec 11, 2015 Accepting new patients
Advocate Health and Hospitals Corporation Multi-Specialty Current Accepting new patients
Watertown Physician Practices LLC Multi-Specialty CurrentSince Dec 11, 2015 Accepting new patients
Advocate Health & Hospitals Corporation Multi-Specialty CurrentSince Apr 18, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 18, 2017 Accepting new patients
Des Moines University Osteopathic Medical Center Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Des Moines University Osteopathic Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Hattiesburg HB Medical Services LLC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Northwest Community Hospital Multi-Specialty Past Accepting new patients
Kishwaukee Community Health Services Center Past Accepting new patients
Kishwaukee Community Hospital Past Accepting new patients

Locations

1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639

3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

3701 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: ajay.sharma.1@11667.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1891883328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1700",
            "fax_number": "515-271-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124104",
            "telephone_number": "515-271-1700",
            "fax_number": "515-271-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Doty Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987530",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3S630 Glen Dr S",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553506",
            "country_code": "US",
            "telephone_number": "630-393-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-112797",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": "036112797",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "DO06858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.