KUNJBALA SHARMA MD
NPI 1477618528
Family Medicine in Pawtucket, RI

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
1145 MAIN ST, PAWTUCKET, RI 02860(401) 722-0081(401) 312-0318 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kunjbala Sharma Md NPPES

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

KUNJBALA SHARMA MD (NPI 1477618528) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD07897) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1477618528
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKUNJBALA SHARMACredential: MD
Location Address1145 MAIN STPawtucket, RI 02860-4807
Mailing Address39 East Ave, Blackstone Valley Community Health CarePawtucket, RI 02860-4003 · (401) 722-0081 · Fax (401) 312-0318
Fax(401) 312-0318
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 12, 2019
NPI 1477618528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in RI · MD07897
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License 39079 (MA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 39079 (MA)
1145 MAIN ST, Pawtucket, RI 02860

Other Names 1

Professional Name (2)Dr. Kunjbala Sharma Md

Other Identifiers 5

Medicaid9765239MA
Other400561RI · Bc Bs Of Ri
Other961244-01MA · Network Health
OtherE05285MA · Bc Bs Of Ma
Other400561RI · Bc Bs Of Ri (bluechip)

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

Kunjbala 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 ID8628007796
PECOS Enrollment IDI20100119000470
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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
27 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers17 claims33 services$3.91 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 10

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

Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Physician Assistant (Medical)
1145 MAIN ST
PAWTUCKET, RI 02860
Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Community Health Worker
1145 MAIN ST
PAWTUCKET, RI 02860
Physical Medicine & Rehabilitation (Pain Medicine)
1145 MAIN ST
PAWTUCKET, RI 02860
Physician Assistant
1145 MAIN ST
PAWTUCKET, RI 02860
Pediatrics
1145 MAIN ST
PAWTUCKET, RI 02860
Social Worker (Clinical)
1145 MAIN ST
PAWTUCKET, RI 02860

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 Kunjbala Sharma's NPI number?

The NPI number for Kunjbala Sharma is 1477618528. It was assigned to this individual provider in the NPPES registry on December 27, 2006. The provider is also known as Dr. Kunjbala Sharma MD.

Where is Kunjbala Sharma located?

Kunjbala Sharma practices at 1145 Main St, Pawtucket, RI 02860. The listed phone number is (401) 722-0081.

What is Kunjbala Sharma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kunjbala Sharma enrolled in Medicare?

Yes. Kunjbala 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.

Is Kunjbala Sharma affiliated with any hospitals?

According to CMS data, Kunjbala Sharma is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Kunjbala Sharma was last updated on July 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.