Individual provider Active NPI

Anuj Sharma, M.D.

  • Gastroenterology Physician
  • Belleville, IL
National Provider Identifier
1932420957
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036159689 Issued in IL
Practice address
4550 Memorial Dr Ste 280
Belleville, IL 62226-5372
Phone
(618) 767-3235
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN15220 FL
Gastroenterology Physician 207RG0100X ME135462 FL
Gastroenterology Physician 207RG0100X 036159689 IL Primary

Addresses

Primary practice location

4550 Memorial Dr Ste 280
Belleville, IL 62226-5372

Mailing address

4550 Memorial Dr Ste 280
Belleville, IL 62226-5372
Phone (618) 767-3235

Other practice location 1

1507 S Hiawassee Rd Ste 105
Orlando, FL 32835
Phone (407) 445-9224

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0239

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180608000894 FL Practitioner - Gastroenterology 6204075450 Reassigns benefits to 1 organization
I20220628003402 IL Practitioner - Gastroenterology 6204075450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4550 Memorial Dr
Suite 280
Belleville, IL 62226-5372
Phone (618) 767-3235

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN15220FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Gastroenterology, P.a. Gastroenterology CurrentSince Jul 1, 2018 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Dec 31, 2022 Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients

Locations

1507 S Hiawassee Rd
Ste 105
Orlando, FL 32835
Phone (407) 445-9224

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4550 Memorial Dr
Ste 280
Belleville, IL 62226
Phone (618) 277-3109

4600 Memorial Dr
Ste 320
Belleville, IL 62226
Phone (618) 257-2100

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

Organizations & group practices 3

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 3

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1932420957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR STE 280",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-767-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR STE 280",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265372",
            "telephone_number": "618-767-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 S Hiawassee Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32835",
            "country_code": "US",
            "telephone_number": "407-445-9224",
            "fax_number": "407-445-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0239",
            "fax_number": "352-265-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ANUJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN15220",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME135462",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036159689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4550 Memorial Dr Ste 280",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.