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

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: August 09, 2026.

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

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 Ut Southwestern University Hospital - William P. Clements Jr., 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
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

Other Identifiers 2

OtherR5643TX · Texas Medical License
Other036.136739IL · Illinois License Number

Accepted 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

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.

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

Hospital Affiliations CMS Care Compare 3

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

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 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
Quality93.72
Promoting Interoperability98
Improvement Activities40
Cost51

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.

Registered Nurse (Cardiac Rehabilitation)
902 W RANDOL MILL RD STE 200
ARLINGTON, TX 76012
Internal Medicine (Interventional Cardiology)
902 W RANDOL MILL RD STE 200
ARLINGTON, TX 76012
Internal Medicine (Interventional Cardiology)
902 W RANDOL MILL RD STE 200
ARLINGTON, TX 76012
Internal Medicine (Cardiovascular Disease)
902 W RANDOL MILL RD STE 200
ARLINGTON, TX 76012
Nurse Practitioner (Family)
902 W RANDOL MILL RD STE 200
ARLINGTON, TX 76012

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 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.

Where is Shishir Sharma located?

Shishir Sharma practices at 902 W Randol Mill Rd Ste 200, Arlington, TX 76012. The listed phone number is (817) 461-3003.

What is Shishir Sharma's specialty?

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

Is Shishir Sharma enrolled in Medicare?

Yes. Shishir 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 Shishir Sharma accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Shishir 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.

Is Shishir Sharma affiliated with any hospitals?

According to CMS data, Shishir Sharma is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., Texas Health Arlington Memorial Hospital and Texas Health Heart & Vascular Hospital Arlington.

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.