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MR. DHRUV SHARMA MD
NPI 1437687126
Otolaryngology in Louisville, KY

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
3920 DUTCHMANS LANE, SUITE 308, LOUISVILLE, KY 40207(502) 583-3687(502) 259-6934 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 12, 2024, Aug 10, 2023, May 10, 2022 and 2 more (5 updates tracked since 2017).

About Mr. Dhruv Sharma Md NPPES

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

MR. DHRUV SHARMA MD (NPI 1437687126) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (57893) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437687126
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. DHRUV SHARMACredential: MD
Location Address3920 DUTCHMANS LANE, SUITE 308Louisville, KY 40207-4702
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(502) 583-3687
Fax(502) 259-6934
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1437687126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in KY · 57893✔ Licensed in WA · MD61268539✔ Licensed in IN · 11019280A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3920 DUTCHMANS LANE, Louisville, KY 40207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11130 W Michigan St # Fh400Indianapolis, IN 46202-5209 · Phone (317) 278-1258
Location 21959 NE Pacific StSeattle, WA 98195-5209 · Phone (206) 520-5000

Other Identifiers 1

Medicaid1437687126WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dhruv Sharma Md 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 ID2466725791
PECOS Enrollment IDI20230823002071
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 7

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.
44 services30 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
39 services35 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
34 services16 patients
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.
34 services34 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
22 services17 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC.
Internal Medicine (Sleep Medicine)
3920 DUTCHMANS LANE
LOU, KY 40207
Jefferson County (502) 259-6610

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 Dhruv Sharma's NPI number?

The NPI number for Dhruv Sharma is 1437687126. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Dhruv Sharma located?

Dhruv Sharma practices at 3920 Dutchmans Lane Suite 308, Louisville, KY 40207. The listed phone number is (502) 583-3687.

What is Dhruv Sharma's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Dhruv Sharma enrolled in Medicare?

Yes. Dhruv 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.

What insurance does Dhruv Sharma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Dhruv 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 Dhruv Sharma affiliated with any hospitals?

According to CMS data, Dhruv Sharma is affiliated with Jewish Hospital & St Mary's Healthcare and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Dhruv Sharma was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.