DR. SHIVANI SHARMA MBBS, MD
NPI 1376704627
Internal Medicine in Dayton, NJ
About Dr. Shivani Sharma Mbbs, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHIVANI SHARMA MBBS, MD (NPI 1376704627) is an individual internal medicine provider in Dayton, New Jersey, licensed in New Jersey (25MA09034900) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Plainfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Shivani Sharma Mbbs, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shivani Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 428 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
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 Shivani Sharma's NPI number?
The NPI number for Shivani Sharma is 1376704627. It was assigned to this individual provider in the NPPES registry on June 19, 2008.
Where is Shivani Sharma located?
Shivani Sharma practices at 12 Stults Rd Ste 121, Dayton, NJ 08810. The listed phone number is (732) 297-8666.
What is Shivani Sharma's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shivani Sharma enrolled in Medicare?
Yes. Shivani Sharma is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shivani Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Sharma reassigns Medicare benefits to Rwjbh Primary Care Services (West Orange, NJ). The 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 Shivani Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shivani Sharma accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shivani 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 Shivani Sharma was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Shivani Sharma, MBBS, MD · NPI 1376704627
Internal Medicine physician in Dayton, New Jersey. Individual provider, active in the CMS NPPES registry since June 19, 2008.
## Identity
- **NPI:** 1376704627 (Entity type: Individual)
- **Enumerated:** June 19, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA09034900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 STULTS RD STE 121, Dayton, NJ 08810
- **Phone:** (732) 297-8666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rwjbh Primary Care Services (NPI 1265037501, West Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1376704627) · Data from the CMS NPPES public registry.