DR. PRALHAD SHARMA M.D.
NPI 1265847032
Internal Medicine - Pulmonary Disease in Memphis, TN

Q: What is Pralhad Sharma's NPI number?

The NPI number for Pralhad Sharma is 1265847032. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Q: What is Pralhad Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Pralhad Sharma was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment

75.06/100

CMS Quality Rating

877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 545-7185 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2025, Jul 21, 2022, Jun 23, 2021 and 4 more (7 updates tracked since 2015).

On this page

About Dr. Pralhad Sharma M.d. NPPES

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

DR. PRALHAD SHARMA M.D. (NPI 1265847032) is an individual pulmonary disease provider in Memphis, Tennessee, licensed in Tennessee (61040) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265847032

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRALHAD SHARMACredential: M.D.

Location Address877 JEFFERSON AVEMemphis, TN 38103-2807

Mailing Address956 Court Ave # H314Memphis, TN 38103-2814

Phone(901) 545-7185

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 30, 2014

Last NPPES UpdateMay 22, 20257 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1265847032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 61040

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 61040 (TN)

877 JEFFERSON AVE, Memphis, TN 38103

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1960 E 3rd St, suite 104Chattanooga, TN 37403-2104 · Phone (423) 893-9020

Location 2956 Court Ave # H314Memphis, TN 38103-2814 · Phone (901) 448-5737

Location 31325 Eastmoreland Ave Ste 370Memphis, TN 38104-7542 · Phone (901) 758-7888 · Fax (901) 387-5153

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Dr. Pralhad 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 ID2567731060

PECOS Enrollment IDI20210622002789

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 Reassignments

Medicare enrollment records show Pralhad Sharma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Regional One Physicians Inc

Same address

Surgery

877 JEFFERSON AVE
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
421 clinicians in this Medicare group

NPI 1093130585 (901) 545-8336

Ut Methodist Physicians LLC

0.9 mi

Internal Medicine

1325 EASTMORELAND AVE STE 310
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
170 clinicians in this Medicare group

NPI 1427317908 (901) 758-7970

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 4

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

144 services61 patients

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.

17 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services15 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

75.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.46

Improvement Activities

Cost

71.87

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.

MIMILY HARSONO MD

Pediatrics (Neonatal-Perinatal Medicine)

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7100

JESSICA DORAN DNP, CRNA

Nurse Anesthetist, Certified Registered

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-5893

SHELBY COUNTY HEALTH CARE CORPORATION

Skilled Nursing Facility

877 JEFFERSON AVE, 3RD FLOOR, ADAMS PAVILION
MEMPHIS, TN 38103

Shelby County (901) 515-4300

EDSON RUIZ MD

Pediatrics (Neonatal-Perinatal Medicine)

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 448-5950

MS. MARLA GIDDENS CRNA

Nurse Anesthetist, Certified Registered

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7100

MARY BETH HALL-KRASNOVE FNP

Nurse Practitioner (Family)

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-8090

MEGAN TALLEY

Dietitian, Registered

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7753

COURTNEY H PARKER CRNA

Nurse Anesthetist, Certified Registered

877 JEFFERSON AVE
MEMPHIS, TN 38103

Shelby County (901) 545-7100

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 Pralhad Sharma's NPI number?

The NPI number for Pralhad Sharma is 1265847032. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Pralhad Sharma located?

Pralhad Sharma practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 545-7185.

What is Pralhad Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pralhad Sharma enrolled in Medicare?

Yes. Pralhad 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 organizations bill Medicare for Pralhad Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pralhad Sharma reassigns Medicare benefits to 2 organizations: Ut Regional One Physicians Inc (Memphis, TN) and Ut Methodist Physicians LLC (Memphis, TN). Each 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 Pralhad Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pralhad Sharma accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Pralhad 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 Pralhad Sharma affiliated with any hospitals?

According to CMS data, Pralhad Sharma is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Pralhad Sharma was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.