ENA SHARMA M.D.
NPI 1235577941
Internal Medicine - Rheumatology in Arroyo Grande, CA

Active since June 05, 2013PECOS EnrolledAccepts Medicare Assignment
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420(805) 547-2224(805) 474-5276 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Mar 7, 2023, Dec 28, 2022 and 1 more (4 updates tracked since 2022).

About Ena Sharma M.d. NPPES

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

ENA SHARMA M.D. (NPI 1235577941) is an individual rheumatology provider in Arroyo Grande, California, licensed in California (A142565) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2013).

NPPES Registry Identity

NPI1235577941
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameENA SHARMACredential: M.D.
Location Address850 FAIR OAKS AVE STE 220Arroyo Grande, CA 93420-3929
Mailing Address850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · (805) 547-2224 · Fax (805) 474-5248
Fax(805) 474-5276
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2013
Enumeration DateJune 5, 2013
Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1235577941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · A142565
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
850 FAIR OAKS AVE STE 220, Arroyo Grande, CA 93420

Secondary Practice Location 1

Location 19300 Campus Point Dr, Mail Code# 7381LA Jolla, CA 92037-1300 · Phone (858) 657-7118

Other Identifiers 1

OtherA142565CA · Medical Board Of California

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

Ena 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 ID3577853803
PECOS Enrollment IDI20181121000990
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
249 services153 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.
41 services34 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
29 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

Internal Medicine (Rheumatology)
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Internal Medicine (Gastroenterology)
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Physical Medicine & Rehabilitation
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Nurse Practitioner (Family)
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Clinic/Center (Community Health)
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Nurse Practitioner
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420
Nurse Practitioner (Family)
850 FAIR OAKS AVE STE 220
ARROYO GRANDE, CA 93420

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 Ena Sharma's NPI number?

The NPI number for Ena Sharma is 1235577941. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Ena Sharma located?

Ena Sharma practices at 850 Fair Oaks Ave Ste 220, Arroyo Grande, CA 93420. The listed phone number is (805) 547-2224.

What is Ena Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ena Sharma enrolled in Medicare?

Yes. Ena 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.

When was this NPI record last updated?

The NPPES record for Ena Sharma was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.