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 NameDR. MADHU SHARMA MD
Location Address111 E 210TH ST MONTEFIORE MEDICAL CENTER BRONX, NY 10467
Location Phone(718) 741-2538
Mailing Address55 N BROWNING AVE TENAFLY, NJ 07670
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?Yes
Enumeration Date09-26-2007
Last Update Date09-12-2012

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 Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.254441
License StateNY
Taxonomy DescriptionA 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

Get Directions


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 ID8729382874
PECOS Enrollment IDI20160210000333
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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
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.
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.
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.
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.
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.
1003003880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003006816
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
1083619373MS. CALETHA DICKS CRNA
Individual
Nurse Anesthetist, Certified Registered111 E 210TH ST
BRONX, NY 10467
(718) 920-4316
1346248960DR. LEONARD FREEMAN MD
Individual
Nuclear Medicine111 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
1386644193DR. RICHARD HERBERT SAVEL MD
Individual
Internal Medicine (Critical Care Medicine)111 E 210TH ST MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
(718) 920-5443
1750376919DR. THOMAS B PERERA M.D.
Individual
Emergency Medicine111 E 210TH ST
BRONX, NY 10467
(718) 920-6626
1912993106DR. 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
1457347486DR. 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
Pediatrics111 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
1215995477DR. ANDREA MARIE PORROVECCHIO MD
Individual
Internal Medicine111 E 210TH ST NW6
BRONX, NY 10467
(718) 920-3822
1396798096 SARAH BELLEMARE M.D.
Individual
Surgery111 E 210TH ST ROSENTHAL 2
BRONX, NY 10467
(718) 920-5926
1013964469DR. JONATHAN PHILIP LEVINE M.D.
Individual
Ophthalmology111 E 210TH ST DEPT OF OPHTHALMOLOGY
BRONX, NY 10467
(718) 920-2020
1417994724DR. ALINA O. DULU M.D.
Individual
Anesthesiology (Critical Care Medicine)111 E 210TH ST
BRONX, NY 10467
(212) 774-1873
1245274364DR. 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 Medicine111 E 210TH ST EMERGENCY DEPARTMENT
BRONX, NY 10467
(718) 920-7674
1467461665DR. YELENA AVERBUKH M.D.
Individual
Internal Medicine111 E 210TH ST
BRONX, NY 10467
(718) 920-7270
1386657146MRS. JAMIE R MCKAY RN
Individual
Registered Nurse111 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.