Individual provider Active NPI

Sean Sharma, MD

  • General Practice Physician
  • Williamsport, IN
National Provider Identifier
1992731749
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01061480A Issued in IN
Practice address
412 N Monroe St
Williamsport, IN 47993-1049
Phone
(765) 762-4000
NPI assigned
Jun 23, 2006
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01061480A IN
General Practice Physician 208D00000X 01061480A IN Primary
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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sean.sharma.1@7598.direct.athenahealth.com St. Vincent Williamsport Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000459 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3173525961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Williamsport HospitalGroup PAC ID 4486636776, 16 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061480AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Williamsport Hospital Current Accepting new patients
St. Vincent Williamsport Hospital CurrentSince Jul 1, 2006 Accepting new patients

Locations

1731 Ringer Ln
Williamsport, IN 47993
Phone (765) 762-4170

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • Direct secure messaging: sean.sharma.1@7598.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1992731749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049",
            "telephone_number": "765-762-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01061480A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01061480A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061480A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean.sharma.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Williamsport Hospital",
            "address_1": "412 N Monroe St",
            "city": "Williamsport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479931049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, IN

Sources for this page

Verify at the official NPI Registry.