SUMEET K. SHARMA M.D.
NPI 1124072095
Pediatrics - Pediatric Cardiology in Knoxville, TN
NPI Status: Active since May 22, 2006
Contact Information
2018 CLINCH AVENUE SOUTH TOWER 2ND FLOOR
KNOXVILLE, TN
ZIP 37916
Phone: (865) 522-0420
Fax: (865) 246-7564
- Individual
- Male
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- PECOS Enrolled
About SUMEET SHARMA
This page provides the complete NPI Profile along with additional information for Sumeet Sharma, a pediatrician established in Knoxville, Tennessee with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1124072095 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0202X with license number 42078 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1124072095
- Provider Name
- SUMEET K. SHARMA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2018 CLINCH AVENUE SOUTH TOWER 2ND FLOOR KNOXVILLE, TN 37916
- Location Phone
- (865) 522-0420
- Location Fax
- (865) 246-7564
- Mailing Address
- PO BOX 15004 KNOXVILLE, TN 37901
- Mailing Phone
- (865) 541-8895
- Mailing Fax
- (865) 246-7564
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2006
- Last Update Date
- 03-15-2024
- Code Navigator
A pediatrician like Sumeet Sharma is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 502 Winfield Dunn Pkwy
Sevierville, TN 37876
(865) 522-0420 - 1060 Peerless Xing NW Ste 100
Cleveland, TN 37312
(865) 522-0420 - 1817 W Morris Blvd
Morristown, TN 37813
(865) 522-0420
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 42078
- License State
- TN
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q007696 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Sumeet Sharma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124072095, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124072095, enumerated as an "individual" on May 22, 2006.
The provider is located at 2018 CLINCH AVENUE SOUTH TOWER 2ND FLOOR KNOXVILLE, TN 37916 and the phone number is (865) 522-0420.
Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.
