MINGMAR DOMA SHERPA
NPI 1366097719
Nurse Practitioner - Family in Ridgewood, NY
About Mingmar Doma Sherpa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINGMAR DOMA SHERPA (NPI 1366097719) is an individual family provider in Ridgewood, New York, licensed in New York (F344775-01) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Hills, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mingmar Doma Sherpa 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mingmar Sherpa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forest Hills, NY 11375
- Reassigned Medicare billing, New York enrollment
- 37 clinicians in this Medicare group
Jamaica, NY 11432
- Reassigned Medicare billing, New York enrollment
- 18 clinicians in this Medicare group
Whitestone, NY 11357
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
Hauppauge, NY 11788
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Amb Medical Services PC
- 54 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 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mingmar Sherpa's NPI number?
The NPI number for Mingmar Sherpa is 1366097719. It was assigned to this individual provider in the NPPES registry on August 2, 2019.
Where is Mingmar Sherpa located?
Mingmar Sherpa practices at 6655 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 497-1919.
What is Mingmar Sherpa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mingmar Sherpa enrolled in Medicare?
Yes. Mingmar Sherpa 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 Mingmar Sherpa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mingmar Sherpa reassigns Medicare benefits to 4 organizations: Ajay 28 LLC (Forest Hills, NY), Hillside Primary Care PLLC (Jamaica, NY), Harmony Medical Services Of New York, PLLC (Whitestone, NY) and Amb Medical Services, P.C. (Hauppauge, NY). 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 Mingmar Sherpa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mingmar Sherpa was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mingmar Doma Sherpa · NPI 1366097719
Family physician in Ridgewood, New York. Individual provider, active in the CMS NPPES registry since August 2, 2019.
## Identity
- **NPI:** 1366097719 (Entity type: Individual)
- **Enumerated:** August 2, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344775-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6655 FRESH POND RD, Ridgewood, NY 11385-3261
- **Phone:** (718) 497-1919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ajay 28 LLC (NPI 1609342898, Forest Hills, NY); Hillside Primary Care PLLC (NPI 1699226647, Jamaica, NY); Harmony Medical Services Of New York, PLLC (NPI 1669178448, Whitestone, NY); Amb Medical Services, P.C. (NPI 1568534766, Hauppauge, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366097719) · Data from the CMS NPPES public registry.