SHARON D'MELLO HILTON M.D.
NPI 1639375157
Pediatrics - Pediatric Gastroenterology in Hackensack, NJ
About Sharon D'mello Hilton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARON D'MELLO HILTON M.D. (NPI 1639375157) is an individual pediatric gastroenterology provider in Hackensack, New Jersey, licensed in New Jersey (25MA08763600) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Sharon D'mello Hilton 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sharon Hilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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 Sharon Hilton's NPI number?
The NPI number for Sharon Hilton is 1639375157. It was assigned to this individual provider in the NPPES registry on June 22, 2007. The provider is also known as Sharon D'mello MD.
Where is Sharon Hilton located?
Sharon Hilton practices at 155 Polifly Rd Suite 102, Hackensack, NJ 07601. The listed phone number is (551) 996-8840.
What is Sharon Hilton's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Sharon Hilton enrolled in Medicare?
Yes. Sharon Hilton 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 organizations bill Medicare for Sharon Hilton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Hilton reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Sharon Hilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sharon Hilton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sharon Hilton 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 Sharon Hilton was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sharon D'mello Hilton, M.D. · NPI 1639375157
Pediatric Gastroenterology physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since June 22, 2007.
## Identity
- **NPI:** 1639375157 (Entity type: Individual)
- **Enumerated:** June 22, 2007
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 25MA08763600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 POLIFLY RD, SUITE 102, Hackensack, NJ 07601-1758
- **Phone:** (551) 996-8840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639375157) · Data from the CMS NPPES public registry.