DR. RAHUL SHARMA D.O.
NPI 1356634489
Surgery - Vascular Surgery in Laguna Hills, CA

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment
86.06/100
CMS Quality Rating
24411 HEALTH CENTER DR STE 350, LAGUNA HILLS, CA 92653(949) 457-7900(949) 588-8719 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rahul Sharma D.o. NPPES

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

DR. RAHUL SHARMA D.O. (NPI 1356634489) is an individual vascular surgery provider in Laguna Hills, California, licensed in California (20A14623) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356634489
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. RAHUL SHARMACredential: D.O.
Location Address24411 HEALTH CENTER DR STE 350Laguna Hills, CA 92653-3687
Mailing Address24411 Health Center Dr Ste 350Laguna Hills, CA 92653-3687 · (949) 457-7900 · Fax (949) 588-8719
Fax(949) 588-8719
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 23, 2011
Last NPPES UpdateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
NPI 1356634489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · 20A14623
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 5101019285 (MI)
24411 HEALTH CENTER DR STE 350, Laguna Hills, CA 92653

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. Rahul Sharma D.o. 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 ID2365762911
PECOS Enrollment IDI20180709000667
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 23

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 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.
299 services158 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
68 services60 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
64 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services55 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
39 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

86.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.77
Promoting Interoperability100
Improvement Activities40
Cost64.07

Reported Quality Measures

Advance Care Plan
0%777 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
7%126 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
88%1,790 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%872 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%1,469 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 536 patients
Patients screened: 92% · 536 patients
100%26 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
71%522 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%205 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 681 patients
Patients totalRate: 0% · 681 patients
0%681 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Surgery
24411 HEALTH CENTER DR STE 350
LAGUNA HILLS, CA 92653
Surgery
24411 HEALTH CENTER DR STE 350
LAGUNA HILLS, CA 92653
Physician Assistant
24411 HEALTH CENTER DR STE 350
LAGUNA HILLS, CA 92653
Physician Assistant
24411 HEALTH CENTER DR STE 350
LAGUNA HILLS, CA 92653

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 Rahul Sharma's NPI number?

The NPI number for Rahul Sharma is 1356634489. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Rahul Sharma located?

Rahul Sharma practices at 24411 Health Center Dr Ste 350, Laguna Hills, CA 92653. The listed phone number is (949) 457-7900.

What is Rahul Sharma's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Rahul Sharma enrolled in Medicare?

Yes. Rahul 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.

When was this NPI record last updated?

The NPPES record for Rahul Sharma was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.