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SANTOSH RAJ SHARMA
NPI 1831571686
Internal Medicine in Brooklyn, NY

Active since June 28, 2015PECOS EnrolledAccepts Medicare Assignment
99.75/100
CMS Quality Rating
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-8000 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1831571686
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANTOSH RAJ SHARMA
Location Address121 DEKALB AVEBrooklyn, NY 11201-5425
Mailing Address539 85th St, Apt# 3dBrooklyn, NY 11209-4867 · (303) 330-3782
Phone(718) 250-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 28, 2015
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1831571686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2022-01224
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2022-01224 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
121 DEKALB AVE, Brooklyn, NY 11201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID941533368
PECOS Enrollment IDI20220627002025
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.

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.

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.
403 services147 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.
121 services65 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.
89 services82 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.
53 services52 patients

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, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician 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.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

99.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.8
Promoting Interoperability99
Improvement Activities40

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.

EVANGELIA DAVANOS PHARMD, CNSC
Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Kings County (718) 250-8211
MR. KWONG LAU
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
SAISREE KONDA M.D.
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000
DR. UZOMA N UKOMADU M.D.
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Kings County (718) 250-7700
DR. MARIANA AVELAR FALCONE DE MELO
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Kings County (718) 250-6604
SIMONE CARDOSO PT,DPT
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8143
MARIE METILAINE ALEXANDRE NURSE PRACTITIONER
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8026
DR. JESSIE COLTER FULLMER MD
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Kings County (718) 250-8000

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.

What insurance does Santosh Sharma accept?

Health plans from Blue Cross and Blue Shield of NC 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 15 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.