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DR. SHIVANI SHARMA MBBS, MD
NPI 1376704627
Internal Medicine in Dayton, NJ

Active since June 19, 2008PECOS Enrolled
12 STULTS RD STE 121, DAYTON, NJ 08810(732) 297-8666 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2019, Jan 27, 2017 (2 updates tracked since 2017).

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

NPI1376704627
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHIVANI SHARMACredential: MBBS, MD
Location Address12 STULTS RD STE 121Dayton, NJ 08810
Mailing Address12 Stults Rd Ste 121Dayton, NJ 08810-1549 · (732) 297-8666
Phone(732) 297-8666
Sole ProprietorNo
Enumeration DateJune 19, 2008
Last NPPES UpdateJanuary 3, 20192 updates tracked since enumeration
✔ NPI 1376704627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA09034900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12 STULTS RD STE 121, Dayton, NJ 08810
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Secondary Practice Location 1

Location 1906 Oak Tree Ave, Suite KSouth Plainfield, NJ 07080-5127 · Phone (908) 822-2277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shivani Sharma Mbbs, 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.

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.

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.
70 services69 patients

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.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%35 patients1/55-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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims34 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims15 services$0.98 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 2

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

DR. ROSHNI CHELLI MD
Internal Medicine
12 STULTS RD STE 121
DAYTON, NJ 08810
Middlesex County (732) 297-8666
GIRISH PRAJAPATI
Internal Medicine
12 STULTS RD STE 121
DAYTON, NJ 08810
Middlesex County (732) 297-8666

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.

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.