SANTOSH RAJ SHARMA
NPI 1831571686
Internal Medicine in Brooklyn, NY
About Santosh Raj Sharma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTOSH RAJ SHARMA (NPI 1831571686) is an individual internal medicine provider in Brooklyn, New York, licensed in North Carolina (2022-01224) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 3
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
Santosh Raj Sharma 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 Reassignments
5Medicare enrollment records show Santosh Sharma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 32 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Burlington, NC 27215
- Reassigned Medicare billing, North Carolina enrollment
- 4 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 Santosh Sharma's NPI number?
The NPI number for Santosh Sharma is 1831571686. It was assigned to this individual provider in the NPPES registry on June 28, 2015.
Where is Santosh Sharma located?
Santosh Sharma practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8000.
What is Santosh Sharma's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Santosh Sharma enrolled in Medicare?
Yes. Santosh 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 Santosh Sharma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Sharma reassigns Medicare benefits to 5 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Duke University Health System, Inc. (Durham, NC), Hni Medical Services Of North Carolina, PC (Durham, NC), Duke Health Integrated Practice, Inc (Durham, NC) and Horizon Post Acute Care Services PLLC (Burlington, NC). 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 Santosh Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Santosh Sharma accept?
Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Santosh 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 Santosh Sharma affiliated with any hospitals?
According to CMS data, Santosh Sharma is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for Santosh Sharma was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Santosh Raj Sharma · NPI 1831571686
Internal Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 28, 2015.
## Identity
- **NPI:** 1831571686 (Entity type: Individual)
- **Enumerated:** June 28, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2022-01224 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 DEKALB AVE, Brooklyn, NY 11201-5425
- **Phone:** (718) 250-8000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Duke University Health System, Inc. (NPI 1962721308, Durham, NC); Hni Medical Services Of North Carolina, PC (NPI 1992464002, Durham, NC); Duke Health Integrated Practice, Inc (NPI 1518725936, Durham, NC); Horizon Post Acute Care Services PLLC (NPI 1932886249, Burlington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1831571686) · Data from the CMS NPPES public registry.