MS. SHEFALI SHARMA M.D.
NPI 1164866281
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Grand Rapids, MI
About Ms. Shefali Sharma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHEFALI SHARMA M.D. (NPI 1164866281) is an individual urogynecology and reconstructive pelvic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301119365) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
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
Ms. Shefali 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.
Areas of Expertise CMS Part B claims 8
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Shefali Sharma's NPI number?
The NPI number for Shefali Sharma is 1164866281. It was assigned to this individual provider in the NPPES registry on April 19, 2013.
Where is Shefali Sharma located?
Shefali Sharma practices at 25 Michigan St NE Ste 6200, Grand Rapids, MI 49503. The listed phone number is (616) 391-3304.
What is Shefali Sharma's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.
Is Shefali Sharma enrolled in Medicare?
Yes. Shefali 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 Shefali Sharma accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shefali 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 Shefali Sharma affiliated with any hospitals?
According to CMS data, Shefali Sharma is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Shefali Sharma was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
