MS. RUBAL SHARMA M.D.
NPI 1689163602
Internal Medicine - Hematology & Oncology in Erie, PA

Q: What is Rubal Sharma's NPI number?

The NPI number for Rubal Sharma is 1689163602. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Q: What is Rubal Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Rubal Sharma was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 04, 2018PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

2315 MYRTLE ST STE 290, ERIE, PA 16502(833) 246-7662 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Sep 13, 2018, May 4, 2018 (3 updates tracked since 2018).

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About Ms. Rubal Sharma M.d. NPPES

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

MS. RUBAL SHARMA M.D. (NPI 1689163602) is an individual hematology & oncology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD483343) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689163602

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameMS. RUBAL SHARMACredential: M.D.

Location Address2315 MYRTLE ST STE 290Erie, PA 16502-4609

Mailing Address2315 Myrtle St Ste 290Erie, PA 16502-4609

Phone(833) 246-7662

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 4, 2018

Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1689163602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in PA · MD483343

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2315 MYRTLE ST STE 290, Erie, PA 16502

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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

Ms. Rubal 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 ID6507101136

PECOS Enrollment IDI20240624000352

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 4

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.

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.

108 services79 patients

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.

38 services29 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.

18 services18 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390009

Location232 West 25th StreetErie, PA 16544 · Erie County

Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390113

Location751 Liberty StreetMeadville, PA 16335 · Crawford County

Emergency services Birthing friendly

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number391308

Location965 Shamrock LaneCorry, PA 16407 · Erie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Other Providers at the Same Location NPPES 9

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

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