SHISHIR SHARMA M.D.
NPI 1669735734
Internal Medicine - Cardiovascular Disease in Arlington, TX

Q: What is Shishir Sharma's NPI number?

The NPI number for Shishir Sharma is 1669735734. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Shishir Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Shishir Sharma was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 22, 2012PECOS EnrolledAccepts Medicare Assignment

84.4/100

CMS Quality Rating

902 W RANDOL MILL RD STE 200, ARLINGTON, TX 76012(817) 461-3003(844) 290-4365 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2023, Sep 23, 2022, Sep 4, 2019 (3 updates tracked since 2019).

On this page

About Shishir Sharma M.d. NPPES

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

SHISHIR SHARMA M.D. (NPI 1669735734) is an individual cardiovascular disease provider in Arlington, Texas, licensed in Texas (R5643) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (2012).

NPPES Registry Identity

NPI1669735734

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSHISHIR SHARMACredential: M.D.

Location Address902 W RANDOL MILL RD STE 200Arlington, TX 76012-2581

Mailing Address16980 Dallas Pkwy Ste 200Dallas, TX 75248-1974 · (972) 391-1915 · Fax (844) 290-4365

Phone(817) 461-3003

Fax(844) 290-4365

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2012

Enumeration DateJune 22, 2012

Last NPPES UpdateMay 19, 20233 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1669735734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · R5643

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125061820 (IL)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License R5643 (TX)

902 W RANDOL MILL RD STE 200, Arlington, TX 76012

Open in Google Maps ↗

Other Identifiers 2

OtherR5643TX · Texas Medical License

Other036.136739IL · Illinois License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Shishir 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 ID3375864176

PECOS Enrollment IDI20190710002867

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 Shishir Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heartplace, PLLC

Same address

Cardiac Rehabilitation

902 W RANDOL MILL RD STE 200
Arlington, TX 76012

Reassigned Medicare billing, Texas enrollment
Also billed through NPI 1740014000 (Texas), NPI 1922832286 (Texas), NPI 1245490747 (Texas)
35 clinicians in this Medicare group

NPI 1033943394 (817) 461-3003

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 26

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 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.

846 services382 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

520 services349 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

260 services236 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

244 services223 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

162 services156 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

120 services30 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.

112 services50 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

73 services66 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.

70 services32 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.

39 services39 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

32 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services26 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.

27 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services24 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

25 services21 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

24 services23 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

24 services23 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

22 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

22 services18 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

19 services19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

19 services19 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services14 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

17 services16 patients

Ultrasound of heart, follow-up 93308

13 services11 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

12 services12 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450064

Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County

Emergency services Birthing friendly

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450639

Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County

Emergency services Birthing friendly

Texas Health Heart & Vascular Hospital Arlington

Acute Care Hospitals · Arlington, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670071

Location811 Wright StreetArlington, TX 76012 · Tarrant County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

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.

84.4/100

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

Individually scored

Quality

93.72

Promoting Interoperability

Improvement Activities

Cost

Reported Quality Measures

Advance Care Plan

50%1,288 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

22%232 patients2/55-star benchmark: 87%

Controlling High Blood Pressure

75%930 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

88%115 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Antiplatelet Therapy

81%612 patients4/55-star benchmark: 100%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

95%80 patients4/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

99%205 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%3,850 patients4/55-star benchmark: 100%

e-Prescribing

99%1,484 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

12%1,158 patients1/55-star benchmark: 100%

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

75%73 patients4/55-star benchmark: 100%

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

97%71 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

20%1,651 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

14%1,709 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 28% · 977 patients

Patients screened: 31% · 977 patients

21%34 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%649 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

91%908 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,208 patients

Patients totalRate: 0% · 1,208 patients

0%1,208 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

HEARTPLACE, PLLC

Registered Nurse (Cardiac Rehabilitation)