SONIA SHARMA M.D.
NPI 1669737664
Family Medicine in Crown Point, IN

Q: What is Sonia Sharma's NPI number?

The NPI number for Sonia Sharma is 1669737664. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Sonia Sharma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonia Sharma was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment

74.63/100

CMS Quality Rating

1275 E NORTH ST, CROWN POINT, IN 46307(219) 865-4601 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2024, Mar 20, 2021, Jul 9, 2020 and 1 more (4 updates tracked since 2018).

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About Sonia Sharma M.d. NPPES

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

SONIA SHARMA M.D. (NPI 1669737664) is an individual family medicine provider in Crown Point, Indiana, licensed in Indiana (01079189A) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains a secondary practice location in Schererville.

NPPES Registry Identity

NPI1669737664

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSONIA SHARMACredential: M.D.

Location Address1275 E NORTH STCrown Point, IN 46307-3538

Mailing Address1275 E North StCrown Point, IN 46307-3538 · (219) 865-4601

Phone(219) 865-4601

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 6, 2012

Last NPPES UpdateJanuary 26, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2025

✔ NPI 1669737664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01079189A✔ Licensed in IL · 125.062389

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.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 01079189A (IN)

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 01079189A (IN)

1275 E NORTH ST, Crown Point, IN 46307

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Secondary Practice Location 1

Location 1221 US Highway 41Schererville, IN 46375 · Phone (219) 864-3950

Other Identifiers 1

Medicaid300007320IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sonia 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 ID9335453141

PECOS Enrollment IDI20171030001546

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 3

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.

73 services35 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.

35 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

74.63/100

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

Scored as part of a group practice

Quality

63.06

Improvement Activities

Cost

62.42

Other Providers at the Same Location NPPES 7

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

MS. DEBORAH MARIE CURLESS NP

Nurse Practitioner (Family)