ABHA SHARMA MD
NPI 1255355293
Family Medicine in Ford Heights, IL
About Abha Sharma Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABHA SHARMA MD (NPI 1255355293) is an individual family medicine provider in Ford Heights, Illinois, licensed in Illinois (036-104199) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
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
Abha Sharma Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Abha Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ford Heights, IL 60411
- Reassigned Medicare billing, Illinois enrollment
- 1,047 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
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.
John H Stroger Jr Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60411 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORD HEIGHTS, IL 60411
FORD HEIGHTS, IL 60411
FORD HEIGHTS, IL 60411
FORD HEIGHTS, IL 60411
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 Abha Sharma's NPI number?
The NPI number for Abha Sharma is 1255355293. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Abha Sharma located?
Abha Sharma practices at 1645 Cottage Grove Ave, Ford Heights, IL 60411. The listed phone number is (708) 753-5800.
What is Abha Sharma's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Abha Sharma enrolled in Medicare?
Yes. Abha 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 organization bills Medicare for Abha Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abha Sharma reassigns Medicare benefits to Cook County (Ford Heights, IL). 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 Abha Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abha Sharma accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Abha 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 Abha Sharma affiliated with any hospitals?
According to CMS data, Abha Sharma is affiliated with John H Stroger Jr Hospital.
When was this NPI record last updated?
The NPPES record for Abha Sharma was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Abha Sharma, MD · NPI 1255355293
Family Medicine physician in Ford Heights, Illinois. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1255355293 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036-104199 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1645 COTTAGE GROVE AVE, Ford Heights, IL 60411-3818
- **Phone:** (708) 753-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook County (NPI 1760502439, Ford Heights, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255355293) · Data from the CMS NPPES public registry.