Sean Sharma, MD
Individual provider Active NPI General Practice Physician · Williamsport, IN
NPI 1992731749 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1992731749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 01061480A (IN)
- Practice address
- 412 N Monroe St
Williamsport, IN 47993-1049 - Phone
- (765) 762-4000
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Williamsport Hospital
Practice addresses (Care Compare)
1731 Ringer LN
Williamsport, IN 47993-8900
Phone (765) 762-4178
412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 762-9000
Hospital & facility affiliations
- Ascension St Vincent Williamsport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070207000459 | IN | Practitioner - Internal Medicine |
3173525961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Williamsport Hospital | Current |
Accepting new patients | |
| St. Vincent Williamsport Hospital | Current | Accepting new patients |
Locations
412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496
1731 Ringer Ln
Williamsport, IN 47993
Phone (765) 762-4170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01061480A | IN | |
| General Practice Physician | 208D00000X | 01061480A | IN | Yes |
| Internal Medicine Physician | 207R00000X | 01061480A | IN |
Addresses
Primary practice location
412 N Monroe St
Williamsport, IN 47993-1049
Mailing address
412 N Monroe St
Williamsport, IN 47993-1049
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200826800 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sean.sharma.1@7598.direct.athenahealth.com | St. Vincent Williamsport Hospital |
Other providers in Williamsport, IN
- John Francis Derecho Pascua
- Quality Life Care, LLC
- Anita Michelle Rice
- William Ringer
- Stuart L. Rotramel
- Dakota Shirar
- Alexis Smith
- Kevin D. Smith
- St. Vincent Williamsport Hospital
- St. Vincent Williamsport Hospital
All providers in Williamsport, IN · General Practice Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.