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DR. SHASHI SHARMA M.D.
NPI 1861582926
Internal Medicine - Pulmonary Disease in Opelika, AL

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
121 N 20TH ST, #6, OPELIKA, AL 36801(334) 749-3385(334) 742-9243 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shashi Sharma M.d. NPPES

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

DR. SHASHI SHARMA M.D. (NPI 1861582926) is an individual pulmonary disease provider in Opelika, Alabama, licensed in Alabama (20843) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1994).

NPPES Registry Identity

NPI1861582926
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHASHI SHARMACredential: M.D.
Location Address121 N 20TH ST, #6Opelika, AL 36801-5449
Mailing Address121 N 20th St, #6Opelika, AL 36801-5449 · (334) 749-3385 · Fax (334) 742-9243
Phone(334) 749-3385
Fax(334) 742-9243
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1994
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 23, 2010
✔ NPI 1861582926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AL · 20843
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.

121 N 20TH ST, Opelika, AL 36801
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Other Identifiers 3

Medicaid000035546AL
Medicare PIN000035546AL
Medicare UPING50597AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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. Shashi 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 ID1557554532
PECOS Enrollment IDI20101123000168
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 10

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.

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.
733 services453 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
89 services89 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
85 services85 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
57 services57 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.
40 services40 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 25

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
6 suppliers34 claims34 services$36.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers395 claims395 services$94.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers371 claims1,084 services$36.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers250 claims1,422 services$21.47 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers93 claims530 services$15.65 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
13 suppliers385 claims385 services$58.32 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.

DR. GEORGE GREGORY GILBERT M.D.
Internal Medicine (Gastroenterology)
121 N 20TH ST, #6
OPELIKA, AL 36801
Lee County (334) 949-3385
MISS AIMEE C DEWITT B.S., LAT, ATC
Specialist/Technologist (Athletic Trainer)
121 N 20TH ST
OPELIKA, AL 36801
Lee County (334) 749-8303
MRS. SYLVIA ANDERSON N.P.
Nurse Practitioner (Primary Care)
121 N 20TH ST, #6
OPELIKA, AL 36801
Lee County (334) 749-3385
DR. SCOTT E MILLER PHARM.D.
Pharmacist
121 N 20TH ST, BUILDING # 1
OPELIKA, AL 36801
Lee County (334) 745-5756
DR. WILLIAM P MCGEHEE M.D.
Internal Medicine (Gastroenterology)
121 N 20TH ST, #6
OPELIKA, AL 36801
Lee County (334) 749-3385
DR. WILLIAM S. RUSSELL M.D.
Obstetrics & Gynecology
121 N 20TH ST, #2
OPELIKA, AL 36801
Lee County (334) 745-6447
DR. TODD MICHAEL SHEILS M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
121 N 20TH ST, # 18
OPELIKA, AL 36801
Lee County (334) 749-8303
DR. HOWARD C HARPER III MD
Surgery
121 N 20TH ST, BLDG 3
OPELIKA, AL 36801
Lee County (334) 745-6271

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 Shashi Sharma's NPI number?

The NPI number for Shashi Sharma is 1861582926. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Shashi Sharma located?

Shashi Sharma practices at 121 N 20th St #6, Opelika, AL 36801. The listed phone number is (334) 749-3385.

What is Shashi Sharma's specialty?

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

Is Shashi Sharma enrolled in Medicare?

Yes. Shashi 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 Shashi Sharma accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Shashi 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.

When was this NPI record last updated?

The NPPES record for Shashi Sharma was last updated on June 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.