RAHUL SHARMA MD
NPI 1063675288
Internal Medicine - Interventional Cardiology in Peoria, AZ

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
83.61/100
CMS Quality Rating
13460 N 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2023, Mar 30, 2021, Dec 7, 2020 and 1 more (4 updates tracked since 2019).

About Rahul Sharma Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAHUL SHARMA MD (NPI 1063675288) is an individual interventional cardiology provider in Peoria, Arizona, licensed in Arizona (62814) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063675288
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAHUL SHARMACredential: MD
Location Address13460 N 94TH DRIVE, SUITE J-1Peoria, AZ 85381-4246
Mailing Address13460 N 94th Drive, Suite J-1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168
Fax(623) 298-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 8, 2008
Last NPPES UpdateJanuary 17, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1063675288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AZ · 62814
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 62814 (AZ)
13460 N 94TH DRIVE, Peoria, AZ 85381

Other Identifiers 1

Medicaid87103AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rahul Sharma Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385812890
PECOS Enrollment IDI20210222002234
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 48

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
832 services520 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
376 services287 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
354 services191 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
346 services260 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
313 services229 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
177 services173 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.57
Promoting Interoperability99
Improvement Activities30

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, STE J-1
PEORIA, AZ 85381
Internal Medicine (Clinical Cardiac Electrophysiology)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Nurse Practitioner
13460 N 94TH DRIVE, STE. J-1
PEORIA, AZ 85381
Nurse Practitioner (Family)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, STE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rahul Sharma's NPI number?

The NPI number for Rahul Sharma is 1063675288. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Rahul Sharma located?

Rahul Sharma practices at 13460 N 94th Drive Suite J-1, Peoria, AZ 85381. The listed phone number is (623) 876-8816.

What is Rahul Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rahul Sharma enrolled in Medicare?

Yes. Rahul Sharma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rahul Sharma accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and PacificSource Health Plans and 1 other insurer list Rahul Sharma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rahul Sharma was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.