DR. RAJESH SHARMA MD
NPI 1689781874
Internal Medicine - Gastroenterology in Two Rivers, WI
About Dr. Rajesh Sharma Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJESH SHARMA MD (NPI 1689781874) is an individual gastroenterology provider in Two Rivers, Wisconsin, licensed in Wisconsin (43950) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and maintains a secondary practice location in Manitowoc.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. Rajesh Sharma Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Rajesh Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Medical Ctr Manitowoc County
Acute Care Hospitals · Two Rivers, WIAurora Health Care Central Inc
Acute Care Hospitals · Sheboygan, WIAurora Baycare Medical Ctr
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWO RIVERS, WI 54241
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 Rajesh Sharma's NPI number?
The NPI number for Rajesh Sharma is 1689781874. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Rajesh Sharma located?
Rajesh Sharma practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 793-7548.
What is Rajesh Sharma's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Rajesh Sharma enrolled in Medicare?
Yes. Rajesh 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.
Which organization bills Medicare for Rajesh Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Sharma reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajesh Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rajesh Sharma accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Rajesh 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 Rajesh Sharma affiliated with any hospitals?
According to CMS data, Rajesh Sharma is affiliated with Aurora Medical Ctr Manitowoc County, Aurora Health Care Central Inc and Aurora Baycare Medical Ctr.
When was this NPI record last updated?
The NPPES record for Rajesh Sharma was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Rajesh Sharma, MD · NPI 1689781874
Gastroenterology physician in Two Rivers, Wisconsin. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1689781874 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 43950 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5300 MEMORIAL DR, Two Rivers, WI 54241-3923
- **Phone:** (920) 793-7548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** January 13, 2025
- **Other identifiers:** Medicaid 34150300 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1689781874) · Data from the CMS NPPES public registry.