PRIYA SHARMA DO
NPI 1639798986
Family Medicine in El Cajon, CA

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
525 E MAIN ST, EL CAJON, CA 92020(619) 515-2498 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Apr 15, 2020 (2 updates tracked since 2020).

About Priya Sharma Do NPPES

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

PRIYA SHARMA DO (NPI 1639798986) is an individual family medicine provider in El Cajon, California, licensed in California (20A20337) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639798986
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYA SHARMACredential: DO
Location Address525 E MAIN STEl Cajon, CA 92020-4007
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1639798986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A20337
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 E MAIN ST, El Cajon, CA 92020

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

Priya Sharma Do 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 ID9133581713
PECOS Enrollment IDI20230814002837
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

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.

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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92020 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
525 E MAIN ST
EL CAJON, CA 92020
Social Worker (Clinical)
525 E MAIN ST
EL CAJON, CA 92020
Chiropractor
525 E MAIN ST
EL CAJON, CA 92020
Psychologist
525 E MAIN ST
EL CAJON, CA 92020
Family Medicine
525 E MAIN ST
EL CAJON, CA 92020
Nurse Practitioner (Psychiatric/Mental Health)
525 E MAIN ST
EL CAJON, CA 92020
Physician Assistant
525 E MAIN ST
EL CAJON, CA 92020
Family Medicine
525 E MAIN ST
EL CAJON, CA 92020

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 Priya Sharma's NPI number?

The NPI number for Priya Sharma is 1639798986. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Priya Sharma located?

Priya Sharma practices at 525 E Main St, El Cajon, CA 92020. The listed phone number is (619) 515-2498.

What is Priya Sharma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priya Sharma enrolled in Medicare?

Yes. Priya 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.

When was this NPI record last updated?

The NPPES record for Priya Sharma was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.