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LENA SHARMA MD
NPI 1699125385
Family Medicine in Milwaukee, WI

Active since June 14, 2016PECOS Enrolled
2311 N PROSPECT AVE, MILWAUKEE, WI 53211(414) 319-3000 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2019, Jun 14, 2016 (2 updates tracked since 2016).

About Lena Sharma Md NPPES

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

LENA SHARMA MD (NPI 1699125385) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (70895) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2016).

NPPES Registry Identity

NPI1699125385
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLENA SHARMACredential: MD
Location Address2311 N PROSPECT AVEMilwaukee, WI 53211
Mailing Address1121 N Waverly Pl Apt 1103Milwaukee, WI 53202-3411 · (912) 373-6783
Phone(414) 319-3000
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
✔ NPI 1699125385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 70895
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.
2311 N PROSPECT AVE, Milwaukee, WI 53211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lena Sharma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688901135
PECOS Enrollment IDI20190807001293
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lena Sharma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee Inc
0.2 mi
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
0.2 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Muslim Community And Health Center Of Wisconsin Inc
7.4 mi
Community Health
803 W LAYTON AVE
Milwaukee, WI 53221
  • Reassigned Medicare billing, Wisconsin enrollment
  • 38 clinicians in this Medicare group
NPI 1962850768 (414) 939-4411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

DR. MARY GRACE HERNANDEZ LASQUETY M.D.
Family Medicine
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
DR. PEDRO M. BANDA MD
Urology
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
DR. TAMARA A ADDUCCI MD
Obstetrics & Gynecology
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
MS. MICHELLE BARCELONA FNP
Nurse Practitioner (Family)
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
DR. DAVID S. SANDOCK MD
Urology
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
DR. MAURICE WENDELL CHUNG M.D.
Internal Medicine (Gastroenterology)
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
SALOMON COHEN COHEN MD
Neurological Surgery
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000
LINDA P PEREZ APNP
Nurse Practitioner (Family)
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
Milwaukee County (414) 319-3000

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 Lena Sharma's NPI number?

The NPI number for Lena Sharma is 1699125385. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Lena Sharma located?

Lena Sharma practices at 2311 N Prospect Ave, Milwaukee, WI 53211. The listed phone number is (414) 319-3000.

What is Lena Sharma's specialty?

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

Is Lena Sharma enrolled in Medicare?

Yes. Lena Sharma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lena Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lena Sharma reassigns Medicare benefits to 3 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Muslim Community And Health Center Of Wisconsin Inc (Milwaukee, WI). Each 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 Lena Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lena Sharma accept?

Health plans from Network Health and UnitedHealthcare list Lena 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 Lena Sharma was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.