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KONIKA SHARMA MBBS
NPI 1245784396
Internal Medicine - Gastroenterology in Waldorf, MD

Active since August 06, 2016PECOS EnrolledAccepts Medicare Assignment
10 SAINT PATRICKS DR, WALDORF, MD 20603(301) 705-7870(301) 705-7628 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, May 3, 2024 (2 updates tracked since 2024).

About Konika Sharma Mbbs NPPES

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

KONIKA SHARMA MBBS (NPI 1245784396) is an individual gastroenterology provider in Waldorf, Maryland, licensed in Maryland (D99480) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains a secondary practice location in Oxon Hill.

NPPES Registry Identity

NPI1245784396
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKONIKA SHARMACredential: MBBS
Location Address10 SAINT PATRICKS DRWaldorf, MD 20603-4527
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3456 · Fax (607) 547-6612
Phone(301) 705-7870
Fax(301) 705-7628
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2016
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1245784396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D99480
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10 SAINT PATRICKS DR, Waldorf, MD 20603
Open in Google Maps ↗

Secondary Practice Location 1

Location 16710 Oxon Hill Rd Ste 250Oxon Hill, MD 20745-1117 · Phone (301) 292-7270 · Fax (301) 203-0740

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

Konika Sharma Mbbs 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 ID5092156067
PECOS Enrollment IDI20240509000134, I20240509003516
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 6

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.
101 services73 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.
90 services90 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services29 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.
17 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20603 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOENIL PATEL
Nurse Practitioner (Family)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
MR. DAVID GROSSMAN P.T.
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-6717
CHRISTOPHER TODD WOGAMON LAT, ATC
Specialist/Technologist (Athletic Trainer)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (240) 561-2933
FIRAS AL SAMMARRAI M.B.CH.B.
Internal Medicine (Nephrology)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900
FIRDOUS HASANALI ASAR MD
Family Medicine
10 SAINT PATRICKS DR, SUITE 203
WALDORF, MD 20603
Charles County (301) 843-0222
DR. ALEX RYZHIKOV MD
Internal Medicine (Cardiovascular Disease)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 705-7870
KATELYN SOUTHWICK DPT
Physical Therapist
10 SAINT PATRICKS DR, SUITE 401
WALDORF, MD 20603
Charles County (301) 870-7366
CHRISTINA LIN MD
Pain Medicine (Interventional Pain Medicine)
10 SAINT PATRICKS DR
WALDORF, MD 20603
Charles County (301) 373-7900

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 Konika Sharma's NPI number?

The NPI number for Konika Sharma is 1245784396. It was assigned to this individual provider in the NPPES registry on August 6, 2016.

Where is Konika Sharma located?

Konika Sharma practices at 10 Saint Patricks Dr, Waldorf, MD 20603. The listed phone number is (301) 705-7870.

What is Konika Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Konika Sharma enrolled in Medicare?

Yes. Konika 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.

Is Konika Sharma affiliated with any hospitals?

According to CMS data, Konika Sharma is affiliated with Medstar Saint Mary's Hospital, University Of MD Charles Regional Medical Center and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Konika Sharma was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.