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DR. RISHI SHARMA MD
NPI 1629598065
General Practice in Orlando, FL

Active since June 27, 2017PECOS EnrolledAccepts Medicare Assignment
4474 EDGEWATER DR, ORLANDO, FL 32804(407) 628-4545(407) 637-5679 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2024, Jul 13, 2021, Jul 2, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Rishi Sharma Md NPPES

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

DR. RISHI SHARMA MD (NPI 1629598065) is an individual general practice provider in Orlando, Florida, licensed in Puerto Rico (14094) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629598065
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RISHI SHARMACredential: MD
Location Address4474 EDGEWATER DROrlando, FL 32804-1216
Mailing Address4474 Edgewater DrOrlando, FL 32804-1216 · (407) 628-4545 · Fax (407) 637-5679
Phone(407) 628-4545
Fax(407) 637-5679
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 10, 20245 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1629598065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 14094
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4474 EDGEWATER DR, Orlando, FL 32804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Rishi 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 ID244667038
PECOS Enrollment IDI20200217000216
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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
4,409 services90 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,521 services23 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.
137 services26 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
112 services36 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.
28 services11 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
26 services26 patients

Other Providers at the Same Location NPPES 3

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

KEVIN LEE PRESSLEY D.O.
Internal Medicine
4474 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 297-8007
KEVIN L. PRESSLEY, D.O., PA
Internal Medicine
4474 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 297-8007
AMZWELLCLOUD
General Practice
4474 EDGEWATER DR
ORLANDO, FL 32804
Orange County (407) 628-4545

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 Rishi Sharma's NPI number?

The NPI number for Rishi Sharma is 1629598065. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Rishi Sharma located?

Rishi Sharma practices at 4474 Edgewater Dr, Orlando, FL 32804. The listed phone number is (407) 628-4545.

What is Rishi Sharma's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rishi Sharma enrolled in Medicare?

Yes. Rishi 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 Rishi Sharma accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rishi 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.

When was this NPI record last updated?

The NPPES record for Rishi Sharma was last updated on July 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.