NPIMap

Individual provider Active NPI

Nisha Sharma, MD

  • Family Medicine Physician
  • Irving, NY
National Provider Identifier
1932103769
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254225 Issued in NY
Practice address
12657 Seneca Rd
Irving, NY 14081-9707
Phone
(716) 934-4400
Fax
(716) 934-3323
NPI assigned
Jun 9, 2005
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 002212 NY
Family Medicine Physician 207Q00000X 254225 NY Primary

Addresses

Primary practice location

12657 Seneca Rd
Irving, NY 14081-9707

Mailing address

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-4400

Other identifiers 3

IdentifierTypeStateIssuer
000527955003OtherNYBLUE CROSS
0112678OtherNYINDEPENDENT HEALTH
00026956802OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000183 NY Practitioner - Family Practice 9234198227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharma Medical, PLLCGroup PAC ID 2769567155, 3 clinicians
Buffalo Hearing and Speech Center, IncGroup PAC ID 4183818370, 43 clinicians
Preferred Physician Care PCGroup PAC ID 5799945911, 26 clinicians

Practice addresses (Care Compare)

12657 Seneca Rd
Irving, NY 14081-9707
Phone (716) 934-4400

50 E N St
Buffalo, NY 14203-1002
Phone (716) 885-8318

5844 Southwestern Blvd
Suite 500
Hamburg, NY 14075-3684
Phone (716) 646-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254225NYMDFamily Medicine Physician
002212NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharma Medical, PLLC Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Sharma Ophthalmology PLLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12657 Seneca Rd
Irving, NY 14081
Phone (716) 934-3300

2816 Pleasant Ave
Lake View, NY 14085
Phone (716) 348-2759

Interoperability endpoints

  • Direct secure messaging: nishasharma@sharmamedical.medentdirect.com
  • Direct secure messaging: nsharmamd@premierhealthpartners.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1932103769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12657 SENECA RD",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819707",
            "telephone_number": "716-934-4400",
            "fax_number": "716-934-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12657 SENECA RD",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819707",
            "telephone_number": "716-934-4400",
            "fax_number": "716-934-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "NISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "002212",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000527955003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0112678",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026956802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, NY

Sources for this page

Verify at the official NPI Registry.