DR. SHAREEF BARTHOLOMEW MD
NPI 1720768930
Student in an Organized Health Care Education/Training Program in Urbana, IL

Q: What is Shareef Bartholomew's NPI number?

The NPI number for Shareef Bartholomew is 1720768930. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Q: What is Shareef Bartholomew's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 21, 2023PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3311 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2024, Jul 21, 2023 (2 updates tracked since 2023).

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About Dr. Shareef Bartholomew Md NPPES

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

DR. SHAREEF BARTHOLOMEW MD (NPI 1720768930) is an individual student in an organized health care education/training program in Urbana, Illinois and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720768930

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SHAREEF BARTHOLOMEWCredential: MD

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address611 W Park StUrbana, IL 61801-2501

Phone(217) 383-3311

Sole ProprietorNo

Enumeration DateJuly 21, 2023

Last NPPES UpdateJuly 6, 20242 updates tracked since enumeration

NPPES CertifiedJuly 6, 2024

✔ NPI 1720768930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 W PARK ST, Urbana, IL 61801

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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 (PECOS)

Dr. Shareef Bartholomew Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. BETH ANN LANGFORD CNNP

Nurse Practitioner (Neonatal)