SIMMI SHARMA MD
NPI 1356699946
Family Medicine in Grosse Pointe, MI

Q: What is Simmi Sharma's NPI number?

The NPI number for Simmi Sharma is 1356699946. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Simmi Sharma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Simmi Sharma was last updated on December 31, 2014. 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.

Active since August 29, 2012PECOS Enrolled

468 CADIEUX RD, GROSSE POINTE, MI 48230(586) 498-4422(586) 498-4440 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Simmi Sharma Md NPPES

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

SIMMI SHARMA MD (NPI 1356699946) is an individual family medicine provider in Grosse Pointe, Michigan, licensed in Michigan (4301100070) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356699946

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSIMMI SHARMACredential: MD

Location Address468 CADIEUX RDGrosse Pointe, MI 48230-1507

Mailing Address468 Cadieux RdGrosse Pointe, MI 48230-1507 · (586) 498-4422 · Fax (586) 498-4440

Phone(586) 498-4422

Fax(586) 498-4440

Sole ProprietorNo

Enumeration DateAugust 29, 2012

Last NPPES UpdateDecember 31, 2014

✔ NPI 1356699946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301100070

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.

468 CADIEUX RD, Grosse Pointe, MI 48230

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simmi Sharma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Hospitalist Medicine Physicians Of Richland County, Ltd

134 mi

Internal Medicine

1320 MERCY DR NW
Canton, OH 44708

Reassigned Medicare billing, Ohio enrollment
456 clinicians in this Medicare group

NPI 1639119027 (330) 489-1000

Hospitalist Medicine Physicians Of Ohio, Professional Corporation

166 mi

Internal Medicine

6001 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
776 clinicians in this Medicare group

NPI 1043572290 (614) 234-7535

Usacs Integrated Acute Care Services Of Ohio, LLC

176 mi

Internal Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
494 clinicians in this Medicare group

NPI 1043805690 (844) 474-4019

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

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.

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.

64 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%278 patients4/55-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 20

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

DR. LUCKI WORD MD

Family Medicine