RUPA KUMARI SHARMA M.D.
NPI 1386887198
Internal Medicine - Gastroenterology in Lawrenceburg, IN

Q: What is Rupa Sharma's NPI number?

The NPI number for Rupa Sharma is 1386887198. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Q: What is Rupa Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Rupa Sharma was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 08, 2009PECOS EnrolledAccepts Medicare Assignment

606 WILSON CREEK RD, LAWRENCEBURG, IN 47025(812) 496-8794(812) 537-4979 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2023, Oct 12, 2022, Mar 29, 2018 and 2 more (5 updates tracked since 2015).

On this page

About Rupa Kumari Sharma M.d. NPPES

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

RUPA KUMARI SHARMA M.D. (NPI 1386887198) is an individual gastroenterology provider in Lawrenceburg, Indiana, licensed in Indiana (01091467A) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1386887198

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameRUPA KUMARI SHARMACredential: M.D.

Location Address606 WILSON CREEK RDLawrenceburg, IN 47025-1095

Mailing Address606 Wilson Creek RdLawrenceburg, IN 47025-1095 · (812) 496-8794 · Fax (812) 537-4979

Phone(812) 496-8794

Fax(812) 537-4979

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2009

Enumeration DateApril 8, 2009

Last NPPES UpdateOctober 19, 20235 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1386887198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IN · 01091467A✔ Licensed in NY · 284585✔ Licensed in OH · 35.147774✔ Licensed in KY · 58513

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

606 WILSON CREEK RD, Lawrenceburg, IN 47025

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Secondary Practice Location 1

Location 1111 Maltese DrMiddletown, NY 10940-2141 · Phone (845) 342-4774

Other Identifiers 1

Other284585NY · Ny License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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

Rupa Kumari Sharma M.d. 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 ID244531762

PECOS Enrollment IDI20231030003104, I20231101002695

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

Summit Medical Group, Inc.

11 mi

Rural Health

230 6TH STREET
Rising Sun, IN 47040

Reassigned Medicare billing, Indiana and Kentucky enrollments
Also billed through NPI 1508287640 (Kentucky)
246 clinicians in this Medicare group

NPI 1265275333 (812) 496-8793

Middletown Medical PC

577 mi

Emergency Medicine

111 MALTESE DR
Middletown, NY 10940

Reassigned Medicare billing, New York enrollment
281 clinicians in this Medicare group

NPI 1902855828 (845) 342-4774

Icahn School Of Medicine At Mount Sinai

595 mi

Obstetrics & Gynecology

7901 BROADWAY
Elmhurst, NY 11373

Reassigned Medicare billing, New York enrollment
836 clinicians in this Medicare group

NPI 1578817540 (718) 334-1591

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 12

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.

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.

91 services91 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

75 services72 patients

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.

66 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

56 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services33 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

25 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

25 services20 patients

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.

21 services19 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.

17 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150086

Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County

Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47025 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 17

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

MACKENZIE BACOVIN APRN

Nurse Practitioner

606 WILSON CREEK RD
LAWRENCEBURG, IN 47025

Dearborn County (859) 757-4446

USMAN SIDDIQUI MD

Psychiatry & Neurology (Neurology)

606 WILSON CREEK RD, STE. 210
LAWRENCEBURG, IN 47025

Dearborn County (812) 537-7011

ONCOLOGY/ HEMATOLOGY CARE, INC.

Internal Medicine (Medical Oncology)

606 WILSON CREEK RD, STE 130
LAWRENCEBURG, IN 47025

Dearborn County (812) 537-1911

DR. STEVEN J SCHEINER MD

Psychiatry & Neurology (Pain Medicine)

606 WILSON CREEK RD, SUITE 120
LAWRENCEBURG, IN 47025

Dearborn County (812) 532-2704

TRI STATE PAIN MANAGEMENT SERVICES, P.S.C.

Pain Medicine (Interventional Pain Medicine)

606 WILSON CREEK RD, SUITE 120
LAWRENCEBURG, IN 47025

Dearborn County (812) 532-2704

SHEILA R. RODRIGUEZ APRN

Nurse Practitioner

606 WILSON CREEK RD
LAWRENCEBURG, IN 47025

Dearborn County (812) 496-8794

LESLIE H GLICK MD

Internal Medicine

606 WILSON CREEK RD
LAWRENCEBURG, IN 47025

Dearborn County (812) 496-8780

DR. MARY ELIZABETH ALBERS MD

Internal Medicine (Medical Oncology)

606 WILSON CREEK RD, STE 130
LAWRENCEBURG, IN 47025

Dearborn County (812) 537-1911

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 Rupa Sharma's NPI number?

The NPI number for Rupa Sharma is 1386887198. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Rupa Sharma located?

Rupa Sharma practices at 606 Wilson Creek Rd, Lawrenceburg, IN 47025. The listed phone number is (812) 496-8794.

What is Rupa Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rupa Sharma enrolled in Medicare?

Yes. Rupa 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.

Which organizations bill Medicare for Rupa Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rupa Sharma reassigns Medicare benefits to 3 organizations: Summit Medical Group, Inc. (Rising Sun, IN), Middletown Medical PC (Middletown, NY) and Icahn School Of Medicine At Mount Sinai (Elmhurst, 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 Rupa Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rupa Sharma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Rupa 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.

Is Rupa Sharma affiliated with any hospitals?

According to CMS data, Rupa Sharma is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Rupa Sharma was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.