RITIKA SHARMA M.D.
NPI 1104370519
Family Medicine in Decatur, IL
About Ritika Sharma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RITIKA SHARMA M.D. (NPI 1104370519) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036163406) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Ritika Sharma M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ritika Sharma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62526
- Reassigned Medicare billing, Illinois enrollment
- 166 clinicians in this Medicare group
Assumption, IL 62510
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1942326970 (Illinois)
- 98 clinicians in this Medicare group
Taylorville, IL 62568
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
East Liverpool, OH 43920
- Reassigned Medicare billing, Ohio enrollment
- 100 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 9
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Decatur Memorial Hospital
Acute Care Hospitals · Decatur, ILTaylorville Memorial Hospital
Critical Access Hospitals · Taylorville, ILPana Community Hospital
Critical Access Hospitals · Pana, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Ritika Sharma's NPI number?
The NPI number for Ritika Sharma is 1104370519. It was assigned to this individual provider in the NPPES registry on August 15, 2016.
Where is Ritika Sharma located?
Ritika Sharma practices at 2300 N Edward St Ste 3200, Decatur, IL 62526. The listed phone number is (217) 876-3660.
What is Ritika Sharma's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ritika Sharma enrolled in Medicare?
Yes. Ritika 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 Ritika Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ritika Sharma reassigns Medicare benefits to 4 organizations: Decatur Memorial Hospital (Decatur, IL), Pana Community Hospital Association (Assumption, IL), Taylorville Memorial Hospital (Taylorville, IL) and River Valley Physicians, LLC (East Liverpool, OH). 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 Ritika Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ritika Sharma accept?
Health plans from CareSource list Ritika 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 Ritika Sharma affiliated with any hospitals?
According to CMS data, Ritika Sharma is affiliated with Decatur Memorial Hospital, Taylorville Memorial Hospital and Pana Community Hospital.
When was this NPI record last updated?
The NPPES record for Ritika Sharma was last updated on February 13, 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.
# Ritika Sharma, M.D. · NPI 1104370519
Family Medicine physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since August 15, 2016.
## Identity
- **NPI:** 1104370519 (Entity type: Individual)
- **Enumerated:** August 15, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036163406 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 N EDWARD ST STE 3200, Decatur, IL 62526-4192
- **Phone:** (217) 876-3660 · **Fax:** (217) 876-3665
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Decatur Memorial Hospital (NPI 1164477725, Decatur, IL); Pana Community Hospital Association (NPI 1487843959, Assumption, IL); Taylorville Memorial Hospital (NPI 1144292020, Taylorville, IL); River Valley Physicians, LLC (NPI 1891756870, East Liverpool, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104370519) · Data from the CMS NPPES public registry.