DR. RAKESH SHARMA
NPI 1235157389
Specialist in Ramsey, NJ

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
27 S FRANKLIN TPKE, RAMSEY, NJ 07446(201) 785-8899(201) 785-8869 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rakesh Sharma NPPES

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

DR. RAKESH SHARMA (NPI 1235157389) is an individual specialist in Ramsey, New Jersey, licensed in New Jersey (MAO64071) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1235157389
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RAKESH SHARMA
Location Address27 S FRANKLIN TPKERamsey, NJ 07446-2550
Mailing Address27 S Franklin TpkeRamsey, NJ 07446-2550 · (201) 785-8899 · Fax (201) 785-8869
Fax(201) 785-8869
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235157389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MAO64071
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
27 S FRANKLIN TPKE, Ramsey, NJ 07446

Other Identifiers 3

Medicare ID-Type Unspecified012402NJ
Medicare UPING75096NJ
Medicaid7612702NJ

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

Dr. Rakesh Sharma 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 ID143288381
PECOS Enrollment IDI20041221000001
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

2

Medicare enrollment records show Rakesh Sharma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
27 S FRANKLIN TPKE
Ramsey, NJ 07446
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 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 17

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 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.
436 services138 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
299 services173 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
214 services118 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.
105 services93 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
92 services66 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.
79 services74 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$5.40 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers37 claims37 services$31.67 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers27 claims27 services$66.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers31 claims84 services$26.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers17 claims90 services$14.05 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers21 claims114 services$12.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Chiropractor
27 S FRANKLIN TPKE, SUITE 302
RAMSEY, NJ 07446
Allergy & Immunology
27 S FRANKLIN TPKE, SUITE 301
RAMSEY, NJ 07446
Nurse Practitioner (Adult Health)
27 S FRANKLIN TPKE
RAMSEY, NJ 07446
Internal Medicine
27 S FRANKLIN TPKE
RAMSEY, NJ 07446
Internal Medicine
27 S FRANKLIN TPKE
RAMSEY, NJ 07446
Chiropractor
27 S FRANKLIN TPKE, SUITE 302
RAMSEY, NJ 07446
Specialist
27 S FRANKLIN TPKE
RAMSEY, NJ 07446
Internal Medicine
27 S FRANKLIN TPKE
RAMSEY, NJ 07446

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 Rakesh Sharma's NPI number?

The NPI number for Rakesh Sharma is 1235157389. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Rakesh Sharma located?

Rakesh Sharma practices at 27 S Franklin Tpke, Ramsey, NJ 07446. The listed phone number is (201) 785-8899.

What is Rakesh Sharma's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Rakesh Sharma enrolled in Medicare?

Yes. Rakesh 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 Rakesh Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rakesh Sharma reassigns Medicare benefits to 2 organizations: Valley Pulmonary & Sleep Disorder Center (Ramsey, NJ) and Valley Physician Services PC (Paramus, NJ). 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 Rakesh Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rakesh Sharma accept?

Health plans from Oscar Health list Rakesh 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 Rakesh Sharma affiliated with any hospitals?

According to CMS data, Rakesh Sharma is affiliated with Valley Hospital and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Rakesh Sharma was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.