SURESH SHARMA M.D.
NPI 1922394899
Internal Medicine - Cardiovascular Disease in Lexington, KY

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1401 HARRODSBURG RD, SUITE A300, LEXINGTON, KY 40504(859) 276-4429(859) 276-5939 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2018, Jul 18, 2018 (2 updates tracked since 2018).

About Suresh Sharma M.d. NPPES

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

SURESH SHARMA M.D. (NPI 1922394899) is an individual cardiovascular disease provider in Lexington, Kentucky, licensed in Kentucky (48386) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1922394899
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSURESH SHARMACredential: M.D.
Location Address1401 HARRODSBURG RD, SUITE A300Lexington, KY 40504
Mailing Address2222 N Nevada Ave, Ste 4007Colorado Springs, CO 80907-6863 · (719) 776-8500
Fax(859) 276-5939
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 20, 2011
Last NPPES UpdateDecember 14, 20182 updates tracked since enumeration
NPI 1922394899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in KY · 48386 Licensed in CO · DR.0060651
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License DR.0060651 (CO), 48386 (KY)
1401 HARRODSBURG RD, Lexington, KY 40504

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

Suresh 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 ID1355657545
PECOS Enrollment IDI20180806002573
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 29

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
360 services293 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
213 services211 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
206 services183 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
142 services140 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
114 services114 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.
87 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
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.

Physician Assistant
1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504
Internal Medicine (Interventional Cardiology)
1401 HARRODSBURG RD
LEXINGTON, KY 40504
Radiology (Radiation Oncology)
1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504
Internal Medicine (Nephrology)
1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504
Physician Assistant
1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504
Urology
1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504
Internal Medicine
1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504
Internal Medicine
1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504

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 Suresh Sharma's NPI number?

The NPI number for Suresh Sharma is 1922394899. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Suresh Sharma located?

Suresh Sharma practices at 1401 Harrodsburg Rd Suite A300, Lexington, KY 40504. The listed phone number is (859) 276-4429.

What is Suresh Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Suresh Sharma enrolled in Medicare?

Yes. Suresh 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.

When was this NPI record last updated?

The NPPES record for Suresh Sharma was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.