DR. PRANJAL SHARMA M.B.B.S.
NPI 1619285723
Internal Medicine - Nephrology in Cuyahoga Falls, OH

Q: What is Pranjal Sharma's NPI number?

The NPI number for Pranjal Sharma is 1619285723. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Q: What is Pranjal Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Pranjal Sharma was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 September 23, 2010PECOS EnrolledAccepts Medicare Assignment

89.46/100

CMS Quality Rating

421 PORTAGE TRL STE A, CUYAHOGA FALLS, OH 44221(330) 331-4466(234) 334-5055 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2025, May 10, 2023 (2 updates tracked since 2023).

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About Dr. Pranjal Sharma M.b.b.s. NPPES

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

DR. PRANJAL SHARMA M.B.B.S. (NPI 1619285723) is an individual nephrology provider in Cuyahoga Falls, Ohio, licensed in Ohio (35.145441) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619285723

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PRANJAL SHARMACredential: M.B.B.S.

Location Address421 PORTAGE TRL STE ACuyahoga Falls, OH 44221-3227

Mailing Address421 Portage Trl Ste ACuyahoga Falls, OH 44221-3227 · (330) 331-4466 · Fax (234) 334-5055

Phone(330) 331-4466

Fax(234) 334-5055

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 23, 2010

Last NPPES UpdateApril 1, 20252 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1619285723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OH · 35.145441

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 6384 (NE)

421 PORTAGE TRL STE A, Cuyahoga Falls, OH 44221

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pranjal Sharma M.b.b.s. 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 ID1052552684

PECOS Enrollment IDI20221006000577

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 8

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

265 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

252 services113 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.

235 services116 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.

148 services84 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.

122 services105 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.

42 services42 patients

Hospital Affiliations CMS Care Compare 4

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Summa Health System

Acute Care Hospitals · Akron, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360020

Location525 East Market StreetAkron, OH 44309 · Summit County

Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360027

Location1 Akron General AvenueAkron, OH 44307 · Summit County

Emergency services Birthing friendly

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360150

Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44221 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.

89.46/100

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

Scored as part of a group practice

Quality

79.43

Improvement Activities

Cost

86.98

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers26 claims26 services$8.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers21 claims21 services$109.91 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 8

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

MRS. MICHELLE MARIE TRAVAGLIANTE NP

Nurse Practitioner (Family)