DR. KULDIP SHARMA M.D.
NPI 1578541017
Internal Medicine - Gastroenterology in Middletown, OH

Q: What is Kuldip Sharma's NPI number?

The NPI number for Kuldip Sharma is 1578541017. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Kuldip 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 Kuldip Sharma was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 05, 2006PECOS EnrolledAccepts Medicare Assignment

87.66/100

CMS Quality Rating

255 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 422-5915(513) 422-5101 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Kuldip Sharma M.d. NPPES

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

DR. KULDIP SHARMA M.D. (NPI 1578541017) is an individual gastroenterology provider in Middletown, Ohio, licensed in Ohio (35059854S) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1578541017

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KULDIP SHARMACredential: M.D.

Location Address255 N BREIEL BLVDMiddletown, OH 45042-3807

Mailing Address255 N Breiel BlvdMiddletown, OH 45042-3807 · (513) 422-5915 · Fax (513) 422-5101

Phone(513) 422-5915

Fax(513) 422-5101

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateJanuary 5, 2006

Last NPPES UpdateAugust 17, 2011

✔ NPI 1578541017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35059854S

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.

255 N BREIEL BLVD, Middletown, OH 45042

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Other Identifiers 6

Other141120002OH · Caresource

Medicare PIN0690632OH

Medicare UPINE80166OH

OtherP00010308OH · Rrmc

Medicaid0835467OH

Other000000232753OH · Anthem

Accepted Insurance

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

Dr. Kuldip 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 ID8729011655

PECOS Enrollment IDI20110128000948

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 Reassignment

Medicare enrollment records show Kuldip Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid Valley Gastroenterology Associates, Inc.

Same address

Specialist

255 N BREIEL BLVD
Middletown, OH 45042

Reassigned Medicare billing, Ohio enrollment
2 clinicians in this Medicare group

NPI 1679637292 (513) 422-5915

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.

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.

165 services165 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.

124 services115 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

123 services123 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.

93 services93 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

67 services64 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.

49 services49 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

46 services45 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.

35 services35 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.

29 services26 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

20 services18 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

17 services17 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

87.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.9

Improvement Activities

Cost

89.67

Other Providers at the Same Location NPPES 4

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

TYLER RONALD RITCHIE PA-C

Physician Assistant

255 N BREIEL BLVD
MIDDLETOWN, OH 45042

Butler County (513) 422-5915

MID VALLEY GASTROENTEROLOGY ASSOCIATES, INC.

Specialist

255 N BREIEL BLVD
MIDDLETOWN, OH 45042

Butler County (513) 422-5915

MR. DARYL CHRISTOPHER HACKER M.D.

Internal Medicine (Gastroenterology)

255 N BREIEL BLVD
MIDDLETOWN, OH 45042

Butler County (513) 422-5915

DR. GREGORY DOUGLAS GERBER M.D.

Internal Medicine (Gastroenterology)

255 N BREIEL BLVD
MIDDLETOWN, OH 45042

Butler County (513) 422-5915

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 Kuldip Sharma's NPI number?

The NPI number for Kuldip Sharma is 1578541017. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Kuldip Sharma located?

Kuldip Sharma practices at 255 N Breiel Blvd, Middletown, OH 45042. The listed phone number is (513) 422-5915.

What is Kuldip Sharma's specialty?

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

Is Kuldip Sharma enrolled in Medicare?

Yes. Kuldip 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 organization bills Medicare for Kuldip Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kuldip Sharma reassigns Medicare benefits to Mid Valley Gastroenterology Associates, Inc. (Middletown, OH). The 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 Kuldip Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kuldip Sharma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kuldip 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 Kuldip Sharma affiliated with any hospitals?

According to CMS data, Kuldip Sharma is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Kuldip Sharma was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.