GAUTAM SHARMA
NPI 1760043970
Family Medicine in Fresh Meadows, NY

Q: What is Gautam Sharma's NPI number?

The NPI number for Gautam Sharma is 1760043970. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Q: What is Gautam Sharma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gautam Sharma was last updated on October 3, 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 June 27, 2019PECOS Enrolled

7218 164TH ST, FRESH MEADOWS, NY 11365(718) 969-6640 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2024, Dec 21, 2022 (2 updates tracked since 2022).

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About Gautam Sharma NPPES

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

GAUTAM SHARMA (NPI 1760043970) is an individual family medicine provider in Fresh Meadows, New York, licensed in New York (317425) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and maintains a secondary practice location in Clarion.

NPPES Registry Identity

NPI1760043970

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGAUTAM SHARMA

Location Address7218 164TH STFresh Meadows, NY 11365-4222

Mailing Address7218 164th StFresh Meadows, NY 11365-4222 · (718) 969-6640

Phone(718) 969-6640

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019

Enumeration DateJune 27, 2019

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1760043970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NY · 317425✔ Licensed in PA · OT019545

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.

7218 164TH ST, Fresh Meadows, NY 11365

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Secondary Practice Location 1

Location 124 Doctors Ln Ste 202Clarion, PA 16214-8574 · Phone (814) 226-2500 · Fax (814) 226-3478

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4486033107

PECOS Enrollment IDI20220627000106

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 Reassignment

Medicare enrollment records show Gautam Sharma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lefferts Medical Associates PC

5.4 mi

Internal Medicine

26619 UNION TPKE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
39 clinicians in this Medicare group

NPI 1700922150 (718) 347-0434

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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

568 services117 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.

213 services109 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

144 services101 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.

110 services77 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

53 services53 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

24 services22 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330055

Location56-45 Main StreetFlushing, NY 11355 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 2

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

DR. MALLIKARJUNA D REDDY MD

Family Medicine (Geriatric Medicine)

7218 164TH ST
FLUSHING, NY 11365

Queens County (718) 969-6640

DR. KAVITHA D REDDY MD

Family Medicine

7218 164TH ST
FLUSHING, NY 11365

Queens County (718) 969-6640

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 Gautam Sharma's NPI number?

The NPI number for Gautam Sharma is 1760043970. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Gautam Sharma located?

Gautam Sharma practices at 7218 164th St, Fresh Meadows, NY 11365. The listed phone number is (718) 969-6640.

What is Gautam Sharma's specialty?

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

Is Gautam Sharma enrolled in Medicare?

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

Which organization bills Medicare for Gautam Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Sharma reassigns Medicare benefits to Lefferts Medical Associates PC (New Hyde Park, NY). 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 Gautam Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gautam Sharma affiliated with any hospitals?

According to CMS data, Gautam Sharma is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Gautam Sharma was last updated on October 3, 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.