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RAKESH KUMAR SHARMA M.D.
NPI 1508942574
Internal Medicine - Critical Care Medicine in Ronkonkoma, NY

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
360 HAWKINS AVE, RONKONKOMA, NY 11779(631) 588-8393(631) 588-2312 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rakesh Kumar Sharma M.d. NPPES

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

RAKESH KUMAR SHARMA M.D. (NPI 1508942574) is an individual critical care medicine provider in Ronkonkoma, New York, licensed in New York (161670) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1508942574
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRAKESH KUMAR SHARMACredential: M.D.
Location Address360 HAWKINS AVERonkonkoma, NY 11779-4243
Mailing Address49 Cabriolet LnMelville, NY 11747-1921 · (631) 367-1338 · Fax (631) 588-8231
Phone(631) 588-8393
Fax(631) 588-2312
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 19, 2016
✔ NPI 1508942574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NY · 161670
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
360 HAWKINS AVE, Ronkonkoma, NY 11779
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Other Identifiers 3

Medicaid011-10154NY
Medicare UPIND91872NY
Medicare ID-Type Unspecified03F211NY

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

Rakesh Kumar 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 ID9032283031
PECOS Enrollment IDI20080809000070
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 11

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
295 services117 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.
260 services100 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
159 services82 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.
70 services45 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.
65 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%5,750 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%53 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%96 patients4/55-star benchmark: 100%
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…
58%96 patients3/55-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
10 suppliers27 claims54 services$6.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rakesh Sharma's NPI number?

The NPI number for Rakesh Sharma is 1508942574. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Rakesh Sharma located?

Rakesh Sharma practices at 360 Hawkins Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 588-8393.

What is Rakesh Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rakesh Sharma enrolled in Medicare?

Yes. Rakesh 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 Rakesh Sharma affiliated with any hospitals?

According to CMS data, Rakesh Sharma is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Rakesh Sharma was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.