Individual provider Active NPI

Aidan T Sharma, DOCTOR OF AUDIOLOGY

  • Audiologist
  • Nottingham, MD
National Provider Identifier
1922761113
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01575 Issued in MD
Practice address
8817 Belair Rd Ste 105
Nottingham, MD 21236-2445
Phone
(104) 444-4420
Fax
(561) 299-5438
NPI assigned
Oct 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01575 MD Primary

Addresses

Primary practice location

8817 Belair Rd Ste 105
Nottingham, MD 21236-2445

Mailing address

851 Broken Sound Pkwy NW Ste 120
Boca Raton, FL 33487-3638
Phone (561) 367-1623

Other practice location 1

2 W Rolling Xrds Ste 209
Catonsville, MD 21228-6211
Phone (410) 788-0440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214001133 MD Practitioner - Qualified Audiologist 2567855646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01575MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Hearing Partners, LLC Audiologist CurrentSince Oct 6, 2024 Accepting new patients
Gateway Maryland, Inc CurrentSince Feb 17, 2024 Accepting new patients
Southeast Hearing Partners, LLC Audiologist PastSince Oct 6, 2024 Accepting new patients

Locations

851 Broken Sound Pkwy NW
Ste 120
Boca Raton, FL 33487
Phone (561) 367-1623

5900 Metro Dr
Baltimore, MD 21215
Phone (410) 318-6780

8817 Belair Rd
Ste 105
Nottingham, MD 21236
Phone (410) 444-4420

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1922761113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BROKEN SOUND PKWY NW STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873638",
            "telephone_number": "561-367-1623",
            "fax_number": "561-299-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 BELAIR RD STE 105",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362445",
            "telephone_number": "104-444-4420",
            "fax_number": "561-299-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W Rolling Xrds Ste 209",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212286211",
            "country_code": "US",
            "telephone_number": "410-788-0440",
            "fax_number": "561-299-5438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "AIDAN",
        "middle_name": "T",
        "credential": "DOCTOR OF AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.