ABHA SHARMA MD
NPI 1255355293
Family Medicine in Ford Heights, IL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1645 COTTAGE GROVE AVE, FORD HEIGHTS, IL 60411(708) 753-5800 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2022, Apr 30, 2021 (2 updates tracked since 2021).

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

NPI1255355293
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameABHA SHARMACredential: MD
Location Address1645 COTTAGE GROVE AVEFord Heights, IL 60411-3818
Mailing Address1645 Cottage Grove AveFord Heights, IL 60411-3818 · (708) 753-5800 · Fax (708) 753-5910
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1255355293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-104199
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1645 COTTAGE GROVE AVE, Ford Heights, IL 60411

Accepted Insurance

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

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.

PECOS PAC ID4981606621
PECOS Enrollment IDI20070208000188
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

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.
236 services68 patients

Hospital Affiliations CMS Care Compare 2

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, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims28 services$6.71 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 10

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

Nurse Practitioner (Family)
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Nurse Practitioner (Family)
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Nurse Practitioner (Family)
1645 COTTAGE GROVE AVE, COTTAGE GROVE HEALTH CENTER
FORD HEIGHTS, IL 60411
Family Medicine
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Family Medicine
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Social Worker
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Internal Medicine (Infectious Disease)
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411
Clinic/Center (Primary Care)
1645 COTTAGE GROVE AVE
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.

What insurance does Abha Sharma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abha Sharma was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.