Active NPI
Sharagim Kemp, DO
- Family Medicine Physician
- New York, NY
National Provider Identifier
1912012345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 236415
- Practice address
- 126 5TH Ave FL 2
New York, NY 10011-5631 - Phone
- (646) 880-4465
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019-02038 | NC | |
| Family Medicine Physician | 207Q00000X | DO-05437 | IA | |
| Family Medicine Physician | 207Q00000X | 84002 | GA | |
| Family Medicine Physician | 207Q00000X | 3783 | TN | |
| Family Medicine Physician | 207Q00000X | 008059 | AZ | |
| Family Medicine Physician | 207Q00000X | 20A17775 | CA | |
| Family Medicine Physician | 207Q00000X | 04620 | KY | |
| Family Medicine Physician | 207Q00000X | 236415 | NY | Primary |
| Family Medicine Physician | 207Q00000X | R9790 | TX | |
| Family Medicine Physician | 207Q00000X | 82226 | SC | |
| Family Medicine Physician | 207Q00000X | OS020118 | PA | |
| Family Medicine Physician | 207Q00000X | E-12440 | AR | |
| Family Medicine Physician | 207Q00000X | OS16194 | FL | |
| Family Medicine Physician | 207Q00000X | 34.014035 | OH | |
| Family Medicine Physician | 207Q00000X | 0102205798 | VA |
Addresses
Primary practice location
126 5TH Ave FL 2
New York, NY 10011-5631
Mailing address
126 5TH Ave FL 2
New York, NY 10011-5631
Phone (646) 880-4465
Other practice location 1
425 California St Ste 1400
San Francisco, CA 94104-2116
Phone (845) 233-0853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02672860 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3783 | TN | MD | Pharmacist |
| E-12440 | AR | MD | Family Medicine Physician |
| 008059 | AZ | MD | Family Medicine Physician |
| 20A17775 | CA | MD | Family Medicine Physician |
| OS16194 | FL | MD | Family Medicine Physician |
| 84002 | GA | MD | Family Medicine Physician |
| DO-05437 | IA | MD | Family Medicine Physician |
| 04620 | KY | MD | Family Medicine Physician |
| 2019-02038 | NC | MD | Family Medicine Physician |
| 236415 | NY | MD | Family Medicine Physician |
| 34.014035 | OH | MD | Family Medicine Physician |
| OS020118 | PA | MD | Family Medicine Physician |
| 82226 | SC | MD | Family Medicine Physician |
| R9790 | TX | MD | Family Medicine Physician |
| 0102205798 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Parsley Medical PC | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
| Access Medical Group,PC | Family Medicine | Past | Accepting new patients |
| Summit Medical Healthcare, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1528744935
-
- Internal Medicine Physician
- Rhinebeck, NY
- NPI 1568515104
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- General Practice Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1912012345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115631",
"telephone_number": "646-880-4465",
"fax_number": "845-475-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115631",
"telephone_number": "646-880-4465"
}
],
"practiceLocations": [
{
"address_1": "425 California St Ste 1400",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941042116",
"country_code": "US",
"telephone_number": "845-233-0853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEMP",
"first_name": "SHARAGIM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-02038",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-05437",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "84002",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "3783",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "008059",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A17775",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04620",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "236415",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R9790",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "82226",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS020118",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-12440",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16194",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.014035",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205798",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02672860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.