1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

DR. BHAVNA SHARMA M.D
NPI 1851541114
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD STE 300, PHILADELPHIA, PA 19141(215) 456-6950(215) 456-1766 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Dr. Bhavna Sharma M.d NPPES

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

DR. BHAVNA SHARMA M.D (NPI 1851541114) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD445601) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1851541114
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BHAVNA SHARMACredential: M.D
Location Address5401 OLD YORK RD STE 300Philadelphia, PA 19141-3045
Mailing Address5401 Old York Rd Ste 300Philadelphia, PA 19141-3045 · (215) 456-6950 · Fax (215) 456-1766
Phone(215) 456-6950
Fax(215) 456-1766
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 23, 2008
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1851541114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD445601
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0038071 (NY)
5401 OLD YORK RD STE 300, Philadelphia, PA 19141
Open in Google Maps ↗

Secondary Practice Location 1

Location 11600 Elmwood Ave, apt 10Rochester, NY 14620-3862 · Phone (585) 748-3556

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Bhavna Sharma M.d 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 ID5991974362
PECOS Enrollment IDI20231107003981
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 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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
85 services85 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.
78 services42 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.
40 services31 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers99 claims99 services$31.84 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers95 claims95 services$67.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers108 claims249 services$25.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers53 claims299 services$15.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers31 claims176 services$13.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers82 claims82 services$46.03 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 7

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

JOYCE EPELBOIM FELDMAN MD
Internal Medicine (Sleep Medicine)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
REBECCA ELIZABETH NEITHEIMER DNP
Nurse Practitioner (Primary Care)
5401 OLD YORK RD STE 300
PHILA, PA 19141
Philadelphia County (215) 456-3693
MUDITA PATEL DO
Internal Medicine (Infectious Disease)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6948
DR. RODNEY M. ELKIN M.D.
Internal Medicine
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8608
MARGARET SHOTZBARGER CRNP
Nurse Practitioner (Acute Care)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
KUNAL KUMAR
Internal Medicine (Sleep Medicine)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950
EINSTEIN PRACTICE PLAN INC
Internal Medicine (Sleep Medicine)
5401 OLD YORK RD STE 300
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6950

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 Bhavna Sharma's NPI number?

The NPI number for Bhavna Sharma is 1851541114. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Bhavna Sharma located?

Bhavna Sharma practices at 5401 Old York Rd Ste 300, Philadelphia, PA 19141. The listed phone number is (215) 456-6950.

What is Bhavna Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bhavna Sharma enrolled in Medicare?

Yes. Bhavna 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 Bhavna Sharma accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Bhavna 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 Bhavna Sharma affiliated with any hospitals?

According to CMS data, Bhavna Sharma is affiliated with Baylor University Medical Center, Baylor Scott & White All Saints Medical Center Fort Worth, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Bhavna Sharma was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.