Individual provider Active NPI

Rishi Sharma

  • Diagnostic Radiology Physician
  • South Bend, IN
National Provider Identifier
1932604238
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036157325 Issued in IL
Practice address
615 N Michigan St
South Bend, IN 46601-1033
Phone
(574) 647-1000
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 02007271A IN
Diagnostic Radiology Physician 2085R0202X 036157325 IL Primary

Addresses

Primary practice location

615 N Michigan St
South Bend, IN 46601-1033

Mailing address

PO Box 1258
South Bend, IN 46624-1258
Phone (574) 258-1100

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 413-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI, TX, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230724000367 IN Practitioner - Diagnostic Radiology 5890046403 Reassigns benefits to 1 organization
I20240723000161 WI Practitioner - Diagnostic Radiology 5890046403 Reassigns benefits to 1 organization
I20241105004132 TX Practitioner - Diagnostic Radiology 5890046403 Reassigns benefits to 1 organization
I20241216002189 IL Practitioner - Diagnostic Radiology 5890046403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology IncGroup PAC ID 5890695464, 35 clinicians
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

Practice addresses (Care Compare)

1010 W State Rd
Suite 2
La Porte, IN 46350-5465
Phone (574) 258-1100

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211

1115 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4850

1135 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4000

1240 N Lake Shore Dr
Apt 18a
Chicago, IL 60610-6649
Phone (574) 258-1100

1740 W Taylor St
Mc931
Chicago, IL 60612-7232
Phone (312) 355-5258

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 535-2693

2043 W Superior St
Chicago, IL 60612-1313
Phone (574) 258-1100

520 W Fransee LN
Glendale, WI 53217-3163
Phone (574) 258-1100

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621

615 N Michigan St
Memorial Hospital
South Bend, IN 46601-1033
Phone (574) 647-1000

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157325ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Dec 16, 2024 Accepting new patients
Radiology, Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Beacon Health, LLC Diagnostic Radiology CurrentSince Mar 23, 2026 Accepting new patients

Locations

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

303 S Nappanee St
Elkhart, IN 46514

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

6901 N Main St
Granger, IN 46530
Phone (574) 647-2900

620 W Edison Rd
Ste 110
Mishawaka, IN 46545
Phone 5742581100 ext. 239

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Interoperability endpoints

  • Direct secure messaging: rsharma18688@uihealth.direct-ci.com
  • Direct secure messaging: rsharma89043@direct.luhs.org

Organizations & group practices 7

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 7

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1932604238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466241258",
            "telephone_number": "574-258-1100",
            "fax_number": "574-258-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011033",
            "telephone_number": "574-647-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-413-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RISHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02007271A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.