RITIKA SHARMA M.D.
NPI 1104370519
Family Medicine in Decatur, IL

Active since August 15, 2016PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
2300 N EDWARD ST STE 3200, DECATUR, IL 62526(217) 876-3660(217) 876-3665 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2023, Aug 6, 2019, Aug 15, 2016 (3 updates tracked since 2016).

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

NPI1104370519
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRITIKA SHARMACredential: M.D.
Location Address2300 N EDWARD ST STE 3200Decatur, IL 62526-4192
Mailing Address509 Lucas LnForsyth, IL 62535-8978 · (330) 881-8030
Fax(217) 876-3665
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 15, 2016
Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1104370519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036163406 Licensed in OH · 35.135658
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 036163406 (IL)
2300 N EDWARD ST STE 3200, Decatur, IL 62526

Secondary Practice Locations 3

Location 1330 N Market St Ste BLisbon, OH 44432-1146 · Phone (330) 870-4595 · Fax (330) 870-4189
Location 2425 W 5th StEast Liverpool, OH 43920-2405 · Phone (330) 386-2926 · Fax (330) 386-2928
Location 315655 State Route 170 Ste HEast Liverpool, OH 43920-9672 · Phone (330) 932-0183 · Fax (330) 932-0240

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

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.

PECOS PAC ID9739416827
PECOS Enrollment IDI20230223002953
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
583 services253 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
203 services195 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
85 services83 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.
80 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services51 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Nurse Practitioner (Acute Care)
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Internal Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Internal Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Internal Medicine
2300 N EDWARD ST STE 3200
DECATUR, IL 62526
Hospitalist
2300 N EDWARD ST STE 3200
DECATUR, IL 62526

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.

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, Memorial Medical Center, 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.