DR. ANKIT SHARMA M.D., M.H.A.
NPI 1346561883
Family Medicine in Springfield, IL

Active since June 18, 2010PECOS Enrolled
319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701(217) 545-8000 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Feb 9, 2023, Dec 9, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Ankit Sharma M.d., M.h.a. NPPES

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

DR. ANKIT SHARMA M.D., M.H.A. (NPI 1346561883) is an individual family medicine provider in Springfield, Illinois, licensed in Florida (ME165872) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1346561883
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANKIT SHARMACredential: M.D., M.H.A.
Location Address319 E MADISON ST STE 1FSpringfield, IL 62701-3118
Mailing Address2020 Winter Springs BlvdOviedo, FL 32765-9347 · (689) 345-5444 · Fax (800) 352-7719
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 18, 2010
Last NPPES UpdateJune 23, 20256 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1346561883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME165872✔ Licensed in IL · 036.140928✔ Licensed in CA · C174034
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.
319 E MADISON ST STE 1F, Springfield, IL 62701

Secondary Practice Location 1

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 545-8000 · Fax (217) 747-1351

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ankit Sharma M.d., M.h.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901042829
PECOS Enrollment IDI20260203004156
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 Ankit Sharma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
General Practice
12901 BRUCE B DOWNS BLVD, MDC 62
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$4.04 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims825 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$25.94 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 20

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

Family Medicine
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Nurse Practitioner (Family)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Dietitian, Registered
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Clinic/Center (Federally Qualified Health Center (FQHC))
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Counselor (Professional)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Dietitian, Registered
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701
Nurse Practitioner (Acute Care)
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701

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 Ankit Sharma's NPI number?

The NPI number for Ankit Sharma is 1346561883. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Ankit Sharma located?

Ankit Sharma practices at 319 E Madison St Ste 1F, Springfield, IL 62701. The listed phone number is (217) 545-8000.

What is Ankit Sharma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ankit Sharma enrolled in Medicare?

Yes. Ankit Sharma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ankit Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ankit Sharma reassigns Medicare benefits to 2 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL) and University Medical Service Association Inc (Tampa, 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 Ankit Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ankit Sharma accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Ankit 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 Ankit Sharma was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.