Physician Compare National (NPI:1407016512)

HEALTHCARE PROVIDER: KSHITIJ SHARMA M.D., M.S.P.H.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407016512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103007364
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110221000786
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHARMA
	Individual professional last name
Provider First Name	KSHITIJ
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EMERGENCY MEDICINE ASSOCIATES PA PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022914522
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	407
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2 BERNADINE DR
	Group Practice or individual's line 1 address
City	NEWPORT NEWS
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	236024404
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2406862300
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHAMPTON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y