Individual provider Active NPI

Tushar Sharma, M.D.

  • Nephrology Physician
  • Clearwater, FL
National Provider Identifier
1891924254
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME107433 Issued in FL
Practice address
1055 S Fort Harrison Ave
Clearwater, FL 33756-3905
Phone
(727) 442-6245
Fax
(727) 447-3793
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036121202 IL
Nephrology Physician 207RN0300X ME107433 FL Primary

Addresses

Primary practice location

1055 S Fort Harrison Ave
Clearwater, FL 33756-3905

Mailing address

14134 Nephron Lane
Hudson, FL 34667
Phone (727) 863-5418

Other identifiers 1

IdentifierTypeStateIssuer
002615900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000625 FL Practitioner - NephrologyPractitioner - Internal Medicine 6608068267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

29296 US Hwy 19 N
Clearwater, FL 33761-2190
Phone (727) 784-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107433FLMDNephrology Physician
036121202ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Sep 26, 2010 Accepting new patients

Locations

29296 US Highway 19 N
Ste 4
Clearwater, FL 33761
Phone (727) 772-1738

29296 US Highway 19 N
Clearwater, FL 33761
Phone (727) 784-8444

26750 US Highway 19 N
Clearwater, FL 33761
Phone (727) 726-1460

29296 US Highway 19 N
Ste 3
Clearwater, FL 33761

1055 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 442-6245

1121 Overcash Dr
Dunedin, FL 34698
Phone (727) 733-1112

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tsharma77190@direct.acumenmd.com

Organizations & group practices 1

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 9

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1891924254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LANE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-863-5418",
            "fax_number": "727-869-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563905",
            "telephone_number": "727-442-6245",
            "fax_number": "727-447-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "TUSHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036121202",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME107433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002615900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.