CORDELIA V SHARMA MD NPI 1003016353
Internal Medicine - Critical Care Medicine in Hawthorne, NY
About CORDELIA V SHARMA MD
Cordelia Sharma is an internist established in Hawthorne, New York and her medical specialization is Internal Medicine with a focus in critical care medicine with more than 36 years of experience. The NPI number of this provider is 1003016353 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RC0200X with license number 220174 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
| NPI | 1003016353 |
| Provider Name | CORDELIA V SHARMA MD |
| Location Address | 19 BRADHURST AVE SUITE 3040N HAWTHORNE, NY 10532 |
| Location Phone | (914) 493-6820 |
| Mailing Address | 972 BRUSH HOLLOW RD WESTBURY, NY 11590 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 07-24-2007 |
| Last Update Date | 11-18-2019 |
An internist like Cordelia Sharma is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Cordelia 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.
Cordelia Sharma is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St Barnabas Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $40.72 for a new patient copayment and $31.16 for an established patient copayment.
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 | 207RC0200X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Critical Care Medicine |
| License No. | 220174 |
| License State | NY |
| Taxonomy Description | An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
19 BRADHURST AVE
SUITE 3040N
HAWTHORNE, NY
ZIP 10532
Phone: (914) 493-6820
Mailing Address
972 BRUSH HOLLOW RD
WESTBURY, NY
ZIP 11590
Phone: (516) 876-5555
Fax: (516) 876-1246
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 | 5395777981 |
| PECOS Enrollment ID | I20050902000649 |
| Accepts Medicare Assignment? | Yes "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 |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 10532 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $71.49 | $215.02 | $162.91 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $17.87 | $53.75 | $40.72 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $22.05 | $174.06 | $124.65 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.51 | $43.51 | $31.16 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cordelia Sharma is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ST BARNABAS HOSPITAL | 4422 THIRD AVENUE BRONX, NY 10457 | (212) 960-9000 | Acute Care Hospitals | 330399 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 220174 | NY | No | |
Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 02155902 | MEDICAID (05) | NY |
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 | 1 | 6 | 3 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 12 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 3 + 1 + 0 + 24 = 37 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 37 = 3 | 3 | ||||||||
The NPI number 1003016353 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1528061413 | DR. WARREN ROSENBLUM MD Individual | Internal Medicine (Cardiovascular Disease) | 19 BRADHURST AVE STE 700 HAWTHORNE, NY 10532 (914) 593-7800 |
| 1326041211 | DR. PRAVIN SHAH MD Individual | Surgery (Vascular Surgery) | 19 BRADHURST AVE STE 700 HAWTHORNE, NY 10532 (914) 593-7800 |
| 1265435101 | DR. CRAIG HJEMDAHL-MONSEN MD Individual | Internal Medicine (Cardiovascular Disease) | 19 BRADHURST AVE STE 700 HAWTHORNE, NY 10532 (914) 593-7800 |
| 1316947047 | SOMASUNDARAM JAYABOSE MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 19 BRADHURST AVE STE. 1400 HAWTHORNE, NY 10532 (914) 493-7997 |
| 1003816851 | KARIM BAKASH SOLANGI MD Individual | Internal Medicine (Nephrology) | 19 BRADHURST AVE SUITE 200N HAWTHORNE, NY 10532 (914) 493-7701 |
| 1851391163 | MARK S GLASSMAN MD Individual | Pediatrics (Pediatric Gastroenterology) | 19 BRADHURST AVE STE 1400 HAWTHORNE, NY 10532 (914) 594-4610 |
| 1043210289 | CARA S LAFLEUR Individual | Nutritionist | 19 BRADHURST AVE SUITE 200N HAWTHORNE, NY 10532 (914) 493-7701 |
| 1144220120 | USHA S KRISHNAN MD Individual | Pediatrics (Pediatric Cardiology) | 19 BRADHURST AVE STE. 1400 HAWTHORNE, NY 10532 (914) 594-4370 |
| 1548262546 | NORTHEAST SURGICAL GROUP, PLLC Organization | Surgery | 19 BRADHURST AVE STE. 0100 HAWTHORNE, NY 10532 (914) 493-7378 |
| 1649272683 | JANET A STOCKHEIM MD Individual | Pediatrics | 19 BRADHURST AVE STE. 800 HAWTHORNE, NY 10532 (914) 593-8850 |
| 1033111844 | JOSE L MUNOZ MD Individual | Pediatrics (Pediatric Infectious Diseases) | 19 BRADHURST AVE STE. 1400 HAWTHORNE, NY 10532 (914) 493-8333 |
| 1093707838 | OYA TUGAL MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 19 BRADHURST AVE STE. 1400 HAWTHORNE, NY 10532 (914) 493-7997 |
| 1063404374 | MARIA E LOMBARDI DO Individual | Pediatrics | 19 BRADHURST AVE STE. 800 HAWTHORNE, NY 10532 (914) 593-8850 |
| 1720072036 | EDWARD JOHN YATCO MD Individual | Surgery | 19 BRADHURST AVE SUITE 1700 HAWTHORNE, NY 10532 (914) 347-0162 |
| 1750375853 | JOHN A SAVINO MD Individual | Surgery | 19 BRADHURST AVE SUITE 1700 HAWTHORNE, NY 10532 (914) 347-0162 |
| 1386639441 | CARLO IVAN GWARDSCHALADSE PA Individual | Physician Assistant | 19 BRADHURST AVE HAWTHORNE, NY 10532 (914) 345-0162 |
| 1902891831 | RAJ MURALI M.D. Individual | Specialist | 19 BRADHURST AVE SUITE 2800 HAWTHORNE, NY 10532 (914) 345-8111 |
| 1427044312 | DR. ALVIN JAMES CHISOLM M.D. Individual | Radiology (Diagnostic Radiology) | 19 BRADHURST AVE SUITE 1000 HAWTHORNE, NY 10532 (914) 493-2500 |
| 1336136027 | INGRID MARIA ALLARD MD Individual | Pediatrics | 19 BRADHURST AVE SUITE 1400 HAWTHORNE, NY 10532 (914) 593-8850 |
| 1508853201 | KARL I-MING LI MD Individual | Pediatrics (Pediatric Infectious Diseases) | 19 BRADHURST AVE STE. 1400 HAWTHORNE, NY 10532 (914) 493-8333 |
Frequently Asked Questions
What is Cordelia Sharma MD NPI number?
The NPI number assigned to this healthcare provider is 1003016353, registered as an "individual" on July 24, 2007
Where is Cordelia Sharma MD located?
The provider is located at 19 Bradhurst Ave Suite 3040n Hawthorne, Ny 10532 and the phone number is (914) 493-6820
Which is Cordelia Sharma MD specialty?
The provider's speciality is Internal Medicine with a focus in Critical Care Medicine
How many years of experience does Cordelia Sharma MD have?
The provider has more than 36 years of experience.
What insurance does Cordelia Sharma MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Cordelia Sharma MD registered in PECOS?
Yes, as of May 11, 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.
How much is a visit to Cordelia Sharma MD?
Medicare beneficiaries should expect a typical cost of $162.91 with an average copayment of $40.72 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.
Is Cordelia Sharma MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: ST BARNABAS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Cordelia Sharma MD was last updated on July 24, 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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