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NALINI LALIT SHARMA M.D
NPI 1316026610
Internal Medicine in Hawthorne, FL

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
22066 SE 71ST AVE, HAWTHORNE, FL 32640(352) 481-2700(352) 481-2392 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nalini Lalit Sharma M.d NPPES

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

NALINI LALIT SHARMA M.D (NPI 1316026610) is an individual internal medicine provider in Hawthorne, Florida, licensed in Florida (ME97306) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1316026610
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNALINI LALIT SHARMACredential: M.D
Location Address22066 SE 71ST AVEHawthorne, FL 32640-3969
Mailing Address1302 River StPalatka, FL 32177-5042 · (386) 328-8371 · Fax (386) 328-1519
Phone(352) 481-2700
Fax(352) 481-2392
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 6, 2006
Last NPPES UpdateNovember 4, 2013
✔ NPI 1316026610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME97306
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.
22066 SE 71ST AVE, Hawthorne, FL 32640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Nalini Lalit 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 ID2264510882
PECOS Enrollment IDI20080423000341
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

2

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

Starke Family Medical Center Inc
25 mi
Family Medicine
345 W MADISON ST
Starke, FL 32091
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
NPI 1487727038 (904) 964-5455
Florida Department Of Health
26 mi
Public Health or Welfare
1801 N TEMPLE AVE
Starke, FL 32091
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1598730806 (Florida)
  • 5 clinicians in this Medicare group
NPI 1932174240 (904) 964-7732

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 6

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.
158 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32640 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims19 services$108.90 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 2

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

RURAL HEALTH CARE, INCORPORATED
Pharmacy (Community/Retail Pharmacy)
22066 SE 71ST AVE
HAWTHORNE, FL 32640
Alachua County (352) 481-5640
MR. BRIAN SCOTT BROOKS PA
Physician Assistant
22066 SE 71ST AVE
HAWTHORNE, FL 32640
Alachua County (352) 481-2700

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 Nalini Sharma's NPI number?

The NPI number for Nalini Sharma is 1316026610. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Nalini Sharma located?

Nalini Sharma practices at 22066 SE 71st Ave, Hawthorne, FL 32640. The listed phone number is (352) 481-2700.

What is Nalini Sharma's specialty?

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

Is Nalini Sharma enrolled in Medicare?

Yes. Nalini 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 Nalini Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nalini Sharma reassigns Medicare benefits to 2 organizations: Starke Family Medical Center Inc (Starke, FL) and Florida Department Of Health (Starke, FL). 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 Nalini Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nalini Sharma accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Nalini 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 Nalini Sharma affiliated with any hospitals?

According to CMS data, Nalini Sharma is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Nalini Sharma was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.