SHARON KELMAR MD
NPI 1245929090
Internal Medicine in Providence, RI

Active since May 05, 2023PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 457-3336(401) 525-2549 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Jun 23, 2023, May 17, 2023 and 1 more (4 updates tracked since 2023).

About Sharon Kelmar Md NPPES

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

SHARON KELMAR MD (NPI 1245929090) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD21306) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Tufts University School Of Medicine (2023).

NPPES Registry Identity

NPI1245929090
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHARON KELMARCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Fax(401) 525-2549
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2023
Enumeration DateMay 5, 2023
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1245929090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD21306
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
593 EDDY ST, Providence, RI 02903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharon Kelmar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638535305
PECOS Enrollment IDI20260708002332
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 Reassignment

Medicare enrollment records show Sharon Kelmar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 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.

Hospital Affiliations CMS Care Compare

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Sharon Kelmar's NPI number?

The NPI number for Sharon Kelmar is 1245929090. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Sharon Kelmar located?

Sharon Kelmar practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 457-3336.

What is Sharon Kelmar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sharon Kelmar enrolled in Medicare?

Yes. Sharon Kelmar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sharon Kelmar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Kelmar reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The 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 Sharon Kelmar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sharon Kelmar affiliated with any hospitals?

According to CMS data, Sharon Kelmar is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Kelmar was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.