Active NPI
Jennifer Sharp, M.D.
- Diagnostic Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036123249
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2640 - Phone
- (816) 404-0690
- NPI assigned
- May 31, 2007
- Last updated
- Apr 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2008018030 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | ME148256 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 036123249 | IL | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2640
Mailing address
2040 W Iles Ave
Suite C
Springfield, IL 62704-4662
Phone (217) 789-7743
Other practice location 1
3050 Montvale Dr Ste A
Springfield, IL 62704-6924
Phone (217) 726-8096
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208798504 | Medicaid | MO | |
| 036123249 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sharpj@clinicalradiologist.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Illinois Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738
200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414
25 S Terry Ave
Suite 220
Orlando, FL 32805-1843
Phone (407) 641-2446
315 Harbor Point PL
Springfield, IL 62712-5563
Phone (407) 200-2355
661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155
7109 Grove Rd
Edwardsville, IL 62025-6443
Phone (407) 200-2355
900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Imaging at Lake Mary, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Crawford Hospital District | Current | Accepting new patients |
Locations
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jshar@yourcarecommunity.org
- jsharp229024@adventhealth.direct-ci.com
- sharpj@clinicalradiologist.com
Organizations & group practices 4
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.
-
dba AdventHealth Medical Group Radiology
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
IL, KY
-
dba AdventHealth Imaging
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
IL
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
dba AdventHealth Imaging
- Body Imaging Physician
- Apopka, FL
- NPI 1033744925
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba AdventHealth New Smyrna Beach
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1972705218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W ILES AVE",
"address_2": "SUITE C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044662",
"telephone_number": "217-789-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082640",
"telephone_number": "816-404-0690"
}
],
"practiceLocations": [
{
"address_1": "3050 Montvale Dr Ste A",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627046924",
"country_code": "US",
"telephone_number": "217-726-8096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2008018030",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME148256",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036123249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208798504",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036123249",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sharpj@clinicalradiologist.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3050 Montvale Dr Ste A",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627046924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.