DR. PRIYA SHARMA MD
NPI 1093126534
Hospitalist in San Antonio, TX

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 450-9000 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 6, 2023, Jul 10, 2023, Oct 28, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Priya Sharma Md NPPES

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

DR. PRIYA SHARMA MD (NPI 1093126534) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (U2639) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093126534
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRIYA SHARMACredential: MD
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 450-9000 · Fax (508) 334-1977
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 19, 2014
Last NPPES UpdateSeptember 6, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1093126534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · U2639
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License U2639 (TX)
4502 MEDICAL DR, San Antonio, TX 78229

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Priya 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 ID4183925225
PECOS Enrollment IDI20230504001634
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Priya Sharma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
264 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229

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 Priya Sharma's NPI number?

The NPI number for Priya Sharma is 1093126534. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Priya Sharma located?

Priya Sharma practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 450-9000.

What is Priya Sharma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Priya Sharma enrolled in Medicare?

Yes. Priya 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.

Which organizations bill Medicare for Priya Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Sharma reassigns Medicare benefits to 2 organizations: Uthscsa Dental School (San Antonio, TX) and Advocate Health And Hospitals Corp. (Normal, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priya Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Sharma accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First, Harbor Health and Imperial Insurance Companies, Inc. list Priya 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.

Is Priya Sharma affiliated with any hospitals?

According to CMS data, Priya Sharma is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Priya Sharma was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.