Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMIT SHARMA MD
NPI 1306047154
Internal Medicine in Hilliard, OH

Q: What is Sumit Sharma's NPI number?

The NPI number for Sumit Sharma is 1306047154. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Sumit Sharma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumit Sharma was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 May 30, 2007PECOS EnrolledAccepts Medicare Assignment

3617 HERITAGE CLUB DR, HILLIARD, OH 43026(614) 685-2805(614) 685-5538 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 8, 2026, Nov 23, 2021, Dec 13, 2017 (3 updates tracked since 2017).

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About Sumit Sharma Md NPPES

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

SUMIT SHARMA MD (NPI 1306047154) is an individual internal medicine provider in Hilliard, Ohio, licensed in Ohio (35.094650) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306047154

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSUMIT SHARMACredential: MD

Location Address3617 HERITAGE CLUB DRHilliard, OH 43026-1313

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 685-2805 · Fax (614) 685-5538

Phone(614) 685-2805

Fax(614) 685-5538

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 30, 2007

Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1306047154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.094650

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.

3617 HERITAGE CLUB DR, Hilliard, OH 43026

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Secondary Practice Locations 3

Location 150 N Wilson RdColumbus, OH 43204-1214 · Phone (614) 702-7915 · Fax (614) 965-6534

Location 21180 E Main StColumbus, OH 43205-1902 · Phone (614) 645-5535 · Fax (614) 645-5546

Location 33781 S High StColumbus, OH 43207-4011 · Phone (614) 645-3163 · Fax (614) 645-5893

Other Identifiers 5

Other1891887790OH · Facility Fqhc Npi #

Other0873783OH · Facility Medicaid #

Other3618391Practice Facility Ptan #

Other1760659171OH · Facility Fee For Service Npi #

Medicaid2920683OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Oscar Health Insurance.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

Sumit 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 ID7911079595

PECOS Enrollment IDI20100426000421

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.

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

9 suppliers16 claims27 services$4.41 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers11 claims12 services$0.76 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$40.28 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 7

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

RANDI DENISE WINENGER APRN-CNP

Nurse Practitioner (Acute Care)