DR. MADHU SHARMA MD NPI 1003003880
Pediatrics in Bronx, NY
About DR. MADHU SHARMA MD
Madhu Sharma is a pediatrician established in Bronx, New York and her medical specialization is Pediatrics with more than 22 years of experience. The NPI number of this provider is 1003003880 and was assigned on September 2007. The practitioner's primary taxonomy code is 208000000X with license number 254441 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
| NPI | 1003003880 |
| Provider Name | DR. MADHU SHARMA MD |
| Location Address | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 |
| Location Phone | (718) 741-2538 |
| Mailing Address | 55 N BROWNING AVE TENAFLY, NJ 07670 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 09-26-2007 |
| Last Update Date | 09-12-2012 |
A pediatrician like Madhu Sharma is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Madhu Sharma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Madhu Sharma is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 254441 |
| License State | NY |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Business Address
111 E 210TH ST
MONTEFIORE MEDICAL CENTER
BRONX, NY
ZIP 10467
Phone: (718) 741-2538
Mailing Address
55 N BROWNING AVE
TENAFLY, NJ
ZIP 07670
Phone: (201) 266-6822
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8729382874 |
| PECOS Enrollment ID | I20160210000333 |
| Accepts Medicare Assignment? | Maybe "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 100 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 3 | 8 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 6 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 6 + 8 + 1 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003003880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083619373 | MS. CALETHA DICKS CRNA Individual | Nurse Anesthetist, Certified Registered | 111 E 210TH ST BRONX, NY 10467 (718) 920-4316 |
| 1346248960 | DR. LEONARD FREEMAN MD Individual | Nuclear Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-6060 |
| 1407856255 | PING ZHOU MD Individual | Pediatrics (Pediatric Endocrinology) | 111 E 210TH ST BRONX, NY 10467 (718) 920-4664 |
| 1386644193 | DR. RICHARD HERBERT SAVEL MD Individual | Internal Medicine (Critical Care Medicine) | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 (718) 920-5443 |
| 1750376919 | DR. THOMAS B PERERA M.D. Individual | Emergency Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-6626 |
| 1912993106 | DR. FRED SMITH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 111 E 210TH ST MONTEFIORE MED CTR DEPT PATHOLOGY BRONX, NY 10467 (718) 920-4976 |
| 1457347486 | DR. SEYMOUR SOLOMON M.D. Individual | Psychiatry & Neurology (Neurology) | 111 E 210TH ST BRONX, NY 10467 (718) 920-4203 |
| 1952371908 | KAYANN WILSON Individual | Nurse Practitioner (Adult Health) | 111 E 210TH ST BRONX, NY 10467 (718) 920-7738 |
| 1558332007 | HENRY M USHAY MD Individual | Pediatrics | 111 E 210TH ST ROSENTHAL 4 BRONX, NY 10467 (718) 741-2463 |
| 1326005554 | BENJAMIN TARAGIN MD Individual | Radiology (Pediatric Radiology) | 111 E 210TH ST DEPT OF RADIOLOGY BRONX, NY 10467 (718) 920-4848 |
| 1215995477 | DR. ANDREA MARIE PORROVECCHIO MD Individual | Internal Medicine | 111 E 210TH ST NW6 BRONX, NY 10467 (718) 920-3822 |
| 1396798096 | SARAH BELLEMARE M.D. Individual | Surgery | 111 E 210TH ST ROSENTHAL 2 BRONX, NY 10467 (718) 920-5926 |
| 1013964469 | DR. JONATHAN PHILIP LEVINE M.D. Individual | Ophthalmology | 111 E 210TH ST DEPT OF OPHTHALMOLOGY BRONX, NY 10467 (718) 920-2020 |
| 1417994724 | DR. ALINA O. DULU M.D. Individual | Anesthesiology (Critical Care Medicine) | 111 E 210TH ST BRONX, NY 10467 (212) 774-1873 |
| 1245274364 | DR. PAUL RISKA MD Individual | Internal Medicine (Infectious Disease) | 111 E 210TH ST BRONX, NY 10467 (718) 920-6494 |
| 1407885205 | ENVER AKALIN M.D. Individual | Internal Medicine (Nephrology) | 111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467 (718) 920-4815 |
| 1295765618 | GITIT TOMER M.D. Individual | General Acute Care Hospital (Children) | 111 E 210TH ST BRONX, NY 10467 (718) 741-2332 |
| 1619990306 | ANDREW K CHANG M.D. Individual | Emergency Medicine | 111 E 210TH ST EMERGENCY DEPARTMENT BRONX, NY 10467 (718) 920-7674 |
| 1467461665 | DR. YELENA AVERBUKH M.D. Individual | Internal Medicine | 111 E 210TH ST BRONX, NY 10467 (718) 920-7270 |
| 1386657146 | MRS. JAMIE R MCKAY RN Individual | Registered Nurse | 111 E 210TH ST BRONX, NY 10467 (718) 920-7329 |
Frequently Asked Questions
What is Dr. Madhu Sharma MD NPI number?
The NPI number assigned to this healthcare provider is 1003003880, registered as an "individual" on September 26, 2007
Where is Dr. Madhu Sharma MD located?
The provider is located at 111 E 210th St Montefiore Medical Center Bronx, Ny 10467 and the phone number is (718) 741-2538
Which is Dr. Madhu Sharma MD specialty?
The provider's speciality is Pediatrics
How many years of experience does Dr. Madhu Sharma MD have?
The provider has more than 22 years of experience.
Is Dr. Madhu Sharma MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Madhu Sharma MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Madhu Sharma MD?
Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $124.65 and an average copayment of 31.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Dr. Madhu Sharma MD was last updated on September 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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