SHEFAALI SHARMA M.D.
NPI 1669738233
Obstetrics & Gynecology in Madison, WI

Q: What is Shefaali Sharma's NPI number?

The NPI number for Shefaali Sharma is 1669738233. It was assigned to this individual provider in the NPPES registry on April 7, 2012.

Q: What is Shefaali Sharma's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shefaali Sharma was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 07, 2012PECOS EnrolledAccepts Medicare Assignment

81.65/100

CMS Quality Rating

5801 RESEARCH PARK BLVD, SUITE 400, MADISON, WI 53719(608) 729-6300(608) 729-1109 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shefaali Sharma M.d. NPPES

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

SHEFAALI SHARMA M.D. (NPI 1669738233) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (61370-20) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1669738233

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSHEFAALI SHARMACredential: M.D.

Location Address5801 RESEARCH PARK BLVD, SUITE 400Madison, WI 53719-6002

Mailing Address5801 Research Park Blvd, Suite 400Madison, WI 53719-6002 · (608) 729-6300 · Fax (608) 729-1109

Phone(608) 729-6300

Fax(608) 729-1109

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016

Enumeration DateApril 7, 2012

Last NPPES UpdateSeptember 15, 2016

✔ NPI 1669738233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 61370-20

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5801 RESEARCH PARK BLVD, Madison, WI 53719

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Accepted Insurance

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

Shefaali 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 ID244462828

PECOS Enrollment IDI20161103000000

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53719 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

81.65/100

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

Scored as part of a group practice

Quality

80.83

Promoting Interoperability

Improvement Activities

Cost

65.53

Other Providers at the Same Location NPPES 15

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

TROY A ALTON DDS

Dentist (Oral and Maxillofacial Surgery)

5801 RESEARCH PARK BLVD, STE 110
MADISON, WI 53719

Dane County (608) 274-0770

MADISON ORAL & MAXILLOFACIAL SURGEONS SC

Dentist (Oral and Maxillofacial Surgery)

5801 RESEARCH PARK BLVD, STE 110
MADISON, WI 53719

Dane County (608) 274-7711

MADISON WOMEN'S HEALTH, LLP

Obstetrics & Gynecology

5801 RESEARCH PARK BLVD, SUITE 400
MADISON, WI 53719

Dane County (608) 729-6300

DR. KARLA JEAN DICKMEYER M.D.

Obstetrics & Gynecology

5801 RESEARCH PARK BLVD, SUITE 400
MADISON, WI 53719

Dane County (608) 729-6300

DR. MARY L STOFFEL M.D.

Obstetrics & Gynecology (Gynecology)

5801 RESEARCH PARK BLVD, SUITE 400
MADISON, WI 53719

Dane County (608) 729-6300

SHARE THE HEALTH FREE GYNECOLOGY CLINIC, INC.

Obstetrics & Gynecology (Gynecology)

5801 RESEARCH PARK BLVD, SUITE 400
MADISON, WI 53719

Dane County (608) 729-6395

SCOTT A HOYER DDS

Dentist (Oral and Maxillofacial Surgery)

5801 RESEARCH PARK BLVD, STE 110
MADISON, WI 53719

Dane County (608) 274-7711

TIMOTHY J KOOB DDS

Dentist (Oral and Maxillofacial Surgery)

5801 RESEARCH PARK BLVD, STE 110
MADISON, WI 53719

Dane County (608) 274-0770

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 Shefaali Sharma's NPI number?

The NPI number for Shefaali Sharma is 1669738233. It was assigned to this individual provider in the NPPES registry on April 7, 2012.

Where is Shefaali Sharma located?

Shefaali Sharma practices at 5801 Research Park Blvd Suite 400, Madison, WI 53719. The listed phone number is (608) 729-6300.

What is Shefaali Sharma's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shefaali Sharma enrolled in Medicare?

Yes. Shefaali 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 Shefaali Sharma accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Shefaali 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.

When was this NPI record last updated?

The NPPES record for Shefaali Sharma was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.