PAYAL SHARMA NP
NPI 1104161140
Nurse Practitioner - Family in Needham, MA

Active since December 03, 2012PECOS EnrolledAccepts Medicare Assignment
15 OAK ST STE 3, NEEDHAM, MA 02492(888) 671-5902(339) 686-3137 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2026, Apr 23, 2024, Oct 27, 2016 (3 updates tracked since 2016).

About Payal Sharma Np NPPES

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

PAYAL SHARMA NP (NPI 1104161140) is an individual family provider in Needham, Massachusetts, licensed in New York (339605) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104161140
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAYAL SHARMACredential: NP
Location Address15 OAK ST STE 3Needham, MA 02492-2470
Mailing Address15 Oak St Ste 3Needham, MA 02492-2470 · (888) 671-5902 · Fax (339) 686-3137
Fax(339) 686-3137
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 3, 2012
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1104161140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 339605✔ Licensed in MA · 2269724
15 OAK ST STE 3, Needham, MA 02492

Other Identifiers 1

Medicaid04327299NY

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

Payal Sharma Np 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 ID7113221326
PECOS Enrollment IDI20240513000892
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

5

Medicare enrollment records show Payal Sharma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
15 OAK ST STE 3
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 27 clinicians in this Medicare group
Internal Medicine
15 OAK ST STE 3
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
Geriatric Medicine
1484 1ST AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
Internal Medicine
2810 N CHURCH ST # 31143
Wilmington, DE 19802
  • Reassigned Medicare billing, Massachusetts enrollment
Internal Medicine
2810 N CHURCH STREET, PMB 31143
Wilmington, DE 19802
  • Reassigned Medicare billing, Massachusetts enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 6

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

Internal Medicine
15 OAK ST STE 3
NEEDHAM, MA 02492
Nurse Practitioner (Family)
15 OAK ST STE 3
NEEDHAM, MA 02492
Dietitian, Registered
15 OAK ST STE 3
NEEDHAM, MA 02492
Internal Medicine
15 OAK ST STE 3
NEEDHAM, MA 02492
Dietitian, Registered
15 OAK ST STE 3
NEEDHAM, MA 02492
Internal Medicine
15 OAK ST STE 3
NEEDHAM, MA 02492

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 Payal Sharma's NPI number?

The NPI number for Payal Sharma is 1104161140. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Where is Payal Sharma located?

Payal Sharma practices at 15 Oak St Ste 3, Needham, MA 02492. The listed phone number is (888) 671-5902.

What is Payal Sharma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Payal Sharma enrolled in Medicare?

Yes. Payal 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 Payal Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Sharma reassigns Medicare benefits to 5 organizations: Seen Medical Group Of Ma, P.C. (Needham, MA), Seen Medical Group, P.A. (Needham, MA), Weill Medical College Of Cornell (New York, NY), Michael Albert M D P C (Wilmington, DE) and Virtual Medical Partners Of California, P.C. (Wilmington, DE). 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 Payal Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Sharma accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas and Mending Health and 1 other insurer list Payal 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 Payal Sharma was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.