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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAHIL P SHARMA MD
NPI 1811282320
Family Medicine in Burlington, WI

Active since June 13, 2011PECOS Enrolled
252 MCHENRY ST, BURLINGTON, WI 53105(262) 767-6000(262) 767-6411 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2026, Nov 18, 2024, Nov 22, 2021 (3 updates tracked since 2021).

About Sahil P Sharma Md NPPES

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

SAHIL P SHARMA MD (NPI 1811282320) is an individual family medicine provider in Burlington, Wisconsin, licensed in Wisconsin (66924-20) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains a secondary practice location in Hazel Crest.

NPPES Registry Identity

NPI1811282320
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAHIL P SHARMACredential: MD
Location Address252 MCHENRY STBurlington, WI 53105-1828
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 767-6000
Fax(262) 767-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 13, 2011
Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1811282320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 66924-20✔ Licensed in IL · 036133672
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.
Also ListedHospitalistTaxonomy 208M00000X · License 66924-20 (WI), 036-133672 (IL)
252 MCHENRY ST, Burlington, WI 53105
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Secondary Practice Location 1

Location 117800 Kedzie Ave Ste AmgHazel Crest, IL 60429-2029 · Phone (312) 609-0300

Other Identifiers 2

Medicaid100065284WI
Medicaid1811282320WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Sahil P 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.

PECOS PAC ID4789812108
PECOS Enrollment IDI20140110000805, I20170320000067
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

5

Medicare enrollment records show Sahil Sharma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
26 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lutheran General Hospital
49 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
Central Dupage Hospital Association
56 mi
General Acute Care Hospital
25 NORTH WINFIELD RD.
Winfield, IL 60190
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1003864810 (630) 933-1600
Advance Inpatient Medicine LLC
60 mi
Hospitalist
903 COMMERCE DRIVE, SUITE 333
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 63 clinicians in this Medicare group
NPI 1265989875 (630) 571-6770
Baycare Aurora, LLC
126 mi
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
NPI 1255387726 (920) 288-8000

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 8

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
286 services148 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
129 services120 patients
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.
116 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims21 services$16.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims21 services$78.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ADAM KUPIETZ PTA
Physical Therapy Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-2411
NICHOLAS CHRISTIAN OTTEN MD
Hospitalist
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6000
DR. JEFFREY T. FOLLANSBEE M.D.
Anesthesiology
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 763-2411
MICHELE G FOJAS NP
Nurse Practitioner
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6000
DR. RICHARD F WAGNER M.D.
Emergency Medicine (Emergency Medical Services)
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6100
MS. MELINEE D BURNETT PA
Physician Assistant
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-8100
DR. EVAN GIBSON MD
Emergency Medicine
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6000
DR. ERIN GRINHAUG M.D.
Emergency Medicine
252 MCHENRY ST
BURLINGTON, WI 53105
Racine County (262) 767-6100

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 Sahil Sharma's NPI number?

The NPI number for Sahil Sharma is 1811282320. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Where is Sahil Sharma located?

Sahil Sharma practices at 252 Mchenry St, Burlington, WI 53105. The listed phone number is (262) 767-6000.

What is Sahil Sharma's specialty?

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

Is Sahil Sharma enrolled in Medicare?

Yes. Sahil 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 organizations bill Medicare for Sahil Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sahil Sharma reassigns Medicare benefits to 5 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lutheran General Hospital (Park Ridge, IL), Central Dupage Hospital Association (Winfield, IL), Advance Inpatient Medicine LLC (Oak Brook, IL) and Baycare Aurora, LLC (Green Bay, 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 Sahil Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sahil Sharma accept?

Health plans from CareSource (Common Ground Healthcare) list Sahil 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 Sahil Sharma affiliated with any hospitals?

According to CMS data, Sahil Sharma is affiliated with Advocate Lutheran General Hospital, Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center, Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Sahil Sharma was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.