NAMITA SHARMA M.D.
NPI 1346574308
Internal Medicine - Hematology & Oncology in Raleigh, NC

Active since September 23, 2009PECOS EnrolledAccepts Medicare Assignment
4101 MACON POND RD, RALEIGH, NC 27607(919) 781-7070(919) 571-9352 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2025, Dec 15, 2025, Aug 31, 2020 (3 updates tracked since 2020).

About Namita Sharma M.d. NPPES

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

NAMITA SHARMA M.D. (NPI 1346574308) is an individual hematology & oncology provider in Raleigh, North Carolina, licensed in Pennsylvania (MD458224) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1346574308
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameNAMITA SHARMACredential: M.D.
Location Address4101 MACON POND RDRaleigh, NC 27607-6319
Mailing Address4101 Macon Pond RdRaleigh, NC 27607-6319 · (919) 781-7070 · Fax (919) 571-9352
Fax(919) 571-9352
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 23, 2009
Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1346574308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in PA · MD458224✔ Licensed in NC · 2025-03008
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
4101 MACON POND RD, Raleigh, NC 27607

Accepted 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

Namita 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 ID9032404736
PECOS Enrollment IDI20260131000769
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

3

Medicare enrollment records show Namita Sharma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3400 WAKE FOREST RD
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1497912232 (North Carolina)
  • 1,482 clinicians in this Medicare group
Gastroenterology
3480 WAKE FOREST RD STE 500
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
Internal Medicine
3228 COLD SPRINGS RD
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 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.

Areas of Expertise CMS Part B claims 7

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.
170 services142 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.
90 services64 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.
42 services34 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.
34 services34 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.
30 services23 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims680 services$0.41 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier24 claims2,092 services$0.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier19 claims19 services$18.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$12.55 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.

Mastectomy Fitter
4101 MACON POND RD, 1290-PROSTHESIS FITTING ROOM
RALEIGH, NC 27607
Physician Assistant
4101 MACON POND RD
RALEIGH, NC 27607
Internal Medicine (Hematology & Oncology)
4101 MACON POND RD
RALEIGH, NC 27607
Physician Assistant (Medical)
4101 MACON POND RD
RALEIGH, NC 27607
Nurse Practitioner (Adult Health)
4101 MACON POND RD
RALEIGH, NC 27607
Surgery
4101 MACON POND RD
RALEIGH, NC 27607
Physician Assistant
4101 MACON POND RD
RALEIGH, NC 27607
Nurse Practitioner
4101 MACON POND RD
RALEIGH, NC 27607

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 Namita Sharma's NPI number?

The NPI number for Namita Sharma is 1346574308. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Namita Sharma located?

Namita Sharma practices at 4101 Macon Pond Rd, Raleigh, NC 27607. The listed phone number is (919) 781-7070.

What is Namita Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Namita Sharma enrolled in Medicare?

Yes. Namita 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 Namita Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Namita Sharma reassigns Medicare benefits to 3 organizations: Duke University Health System, Inc. (Raleigh, NC), Duke Health Integrated Practice, Inc (Raleigh, NC) and Geisinger Clinic (Huntingdon, PA). 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 Namita Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Namita Sharma accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Namita 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 Namita Sharma affiliated with any hospitals?

According to CMS data, Namita Sharma is affiliated with Duke University Hospital, Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Namita Sharma was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.