Active NPI
Mirand Reeb Sharma, MD
- Emergency Medicine Physician
- Davenport, FL
National Provider Identifier
1952379711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME82852
- Practice address
- 40100 Highway 27
Davenport, FL 33837 - Phone
- (863) 422-4971
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME82852 | FL | Primary |
Addresses
Primary practice location
40100 Highway 27
Davenport, FL 33837
Mailing address
8390 Champions Gate Boulevard
Suite 306
Champions Gate, FL 33896
Phone (407) 390-1677
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262413300 | Medicaid | FL | |
| 03206 | Other | FL | BCBS |
| 78623502 | Other | FL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Advance Technological Radiology, PA | Past | Accepting new patients |
Locations
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
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.
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1679324842
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1154450351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952379711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BOULEVARD",
"address_2": "SUITE 306",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "33896",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40100 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "863-422-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "MIRAND",
"middle_name": "REEB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME82852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262413300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03206",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "78623502",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.