DR. PRANEET KUMAR SHARMA M.D.
NPI 1336313857
Internal Medicine - Interventional Cardiology in Mesa, AZ

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
82/100
CMS Quality Rating
6750 E BAYWOOD AVE # 301, MESA, AZ 85206(480) 835-6100(480) 461-4243 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Praneet Kumar Sharma M.d. NPPES

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

DR. PRANEET KUMAR SHARMA M.D. (NPI 1336313857) is an individual interventional cardiology provider in Mesa, Arizona, licensed in Arizona (50410) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1336313857
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PRANEET KUMAR SHARMACredential: M.D.
Location Address6750 E BAYWOOD AVE # 301Mesa, AZ 85206-1749
Mailing Address6402 E Superstition Springs Blvd Ste 224Mesa, AZ 85206-4394 · (480) 835-6100 · Fax (480) 461-4261
Fax(480) 461-4243
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 16, 2008
Last NPPES UpdateJuly 14, 2015
NPI 1336313857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AZ · 50410
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.012761 (OH)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 57.012761 (OH), 2013011939 (MO)
6750 E BAYWOOD AVE # 301, Mesa, AZ 85206

Other Identifiers 2

Medicaid019993AZ
Medicare PINZ176357AZ

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

Dr. Praneet Kumar 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 ID7719208537
PECOS Enrollment IDI20150605000340
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 41

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.
963 services639 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
776 services666 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.
405 services360 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
313 services79 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
296 services283 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
185 services103 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability98
Improvement Activities40
Cost67.91

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
6750 E BAYWOOD AVE # 301
MESA, AZ 85206
Internal Medicine (Cardiovascular Disease)
6750 E BAYWOOD AVE # 301
MESA, AZ 85206
Internal Medicine (Interventional Cardiology)
6750 E BAYWOOD AVE # 301
MESA, AZ 85206
Internal Medicine (Clinical Cardiac Electrophysiology)
6750 E BAYWOOD AVE # 301
MESA, AZ 85206
Internal Medicine (Interventional Cardiology)
6750 E BAYWOOD AVE # 301
MESA, AZ 85206

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 Praneet Sharma's NPI number?

The NPI number for Praneet Sharma is 1336313857. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Praneet Sharma located?

Praneet Sharma practices at 6750 E Baywood Ave # 301, Mesa, AZ 85206. The listed phone number is (480) 835-6100.

What is Praneet Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Praneet Sharma enrolled in Medicare?

Yes. Praneet 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 Praneet Sharma accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Praneet 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.

When was this NPI record last updated?

The NPPES record for Praneet Sharma was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.