VINNY SHARMA D.O,
NPI 1922427004
Psychiatry & Neurology - Neurology in Munster, IN

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
801 MACARTHUR BLVD STE 404, MUNSTER, IN 46321(219) 836-2995 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vinny Sharma D.o, NPPES

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

VINNY SHARMA D.O, (NPI 1922427004) is an individual neurology provider in Munster, Indiana, licensed in Indiana (02005710A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1922427004
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameVINNY SHARMACredential: D.O,
Location Address801 MACARTHUR BLVD STE 404Munster, IN 46321-2919
Mailing Address912 S Wood St, Rm 855nChicago, IL 60612-4300 · (312) 996-6496 · Fax (312) 996-4169
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateJuly 2, 2019
NPI 1922427004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IN · 02005710A
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

801 MACARTHUR BLVD STE 404, Munster, IN 46321

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Accepted 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

Vinny Sharma D.o, 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 ID6305156498
PECOS Enrollment IDI20201205000142
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, 30-39 minutes 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.
205 services127 patients
Initial hospital inpatient care per day, typically 70 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.
95 services92 patients
Follow-up hospital inpatient care per day, typically 35 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.
90 services67 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
71 services71 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
71 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321
Nurse Practitioner (Family)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321
Nurse Practitioner (Family)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321
Nurse Practitioner (Family)
801 MACARTHUR BLVD STE 404
MUNSTER, IN 46321

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 Vinny Sharma's NPI number?

The NPI number for Vinny Sharma is 1922427004. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Vinny Sharma located?

Vinny Sharma practices at 801 Macarthur Blvd Ste 404, Munster, IN 46321. The listed phone number is (219) 836-2995.

What is Vinny Sharma's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Vinny Sharma enrolled in Medicare?

Yes. Vinny 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 Vinny Sharma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Vinny 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 Vinny Sharma affiliated with any hospitals?

According to CMS data, Vinny Sharma is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Vinny Sharma was last updated on July 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.