Individual provider Active NPI

Bhupesh Sharma, MD

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1932273901
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071743 Issued in MI
Practice address
88 Regents Dr
Troy, MI 48084-5419
Phone
(248) 269-6775
Fax
(248) 269-6775
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301071743 MI Primary

Addresses

Primary practice location

88 Regents Dr
Troy, MI 48084-5419

Mailing address

3120 Carpenter St
Ste 301
Hamtramck, MI 48212-9802
Phone (313) 369-1600

Other identifiers 2

IdentifierTypeStateIssuer
104437495MedicaidMI
1106305501OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060427000361 MI Practitioner - Internal Medicine 5294745923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center of Hamtramck PC 2 clinicians

Practice addresses (Care Compare)

12169 Joseph Campau St
Hamtramck, MI 48212-2693
Phone (313) 369-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071743MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center of Hamtramck PC Internal Medicine CurrentSince Feb 5, 2006 Accepting new patients
Healthcure Rehabilitation, Inc. PastSince Apr 1, 2006 Accepting new patients
Family Medical Care PLC Past Accepting new patients
Primary Care Center PLLC Past Accepting new patients
Pennview Medical Clinic,Inc. PastSince Dec 1, 1999 Accepting new patients

Locations

12169 Joseph Campau St
Hamtramck, MI 48212
Phone (248) 269-6775

3120 Carpenter St
Ste 301
Hamtramck, MI 48212
Phone (313) 368-8628

Interoperability endpoints

  • Direct secure messaging: bsharma1150990@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1932273901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "address_2": "STE 301",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-369-1600",
            "fax_number": "313-369-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 REGENTS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845419",
            "telephone_number": "248-269-6775",
            "fax_number": "248-269-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "BHUPESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104437495",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106305501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.