Dr Kuldip Sharma, MD - Medicare Gastroenterology in Middletown, OH

Dr Kuldip Sharma, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Middletown, Ohio. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Mid Valley Gastorenterology Associates, Inc. and his current practice location is 255 N Breiel Blvd, Middletown, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 422-5915.

Dr Kuldip Sharma is licensed to practice in Ohio (license number 35059854S) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578541017.

Contact Information

Dr Kuldip Sharma, MD
255 N Breiel Blvd,
Middletown, OH 45042-3807
(513) 422-5915
(513) 422-5101

Map and Direction




Physician's Profile

Full NameDr Kuldip Sharma
GenderMale
SpecialityGastroenterology
Experience47 Years
Location255 N Breiel Blvd, Middletown, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kuldip Sharma graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1578541017
  • Provider Enumeration Date: 01/05/2006
  • Last Update Date: 08/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729011655
  • Enrollment ID: I20110128000948

Medical Identifiers

Medical identifiers for Dr Kuldip Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578541017NPI-NPPES
P00010308OtherOHRRMC
000000232753OtherOHANTHEM
141120002OtherOHCARESOURCE
0835467MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 35059854S (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Medical CenterFranklin, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mid Valley Gastorenterology Associates, Inc.50927489213

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kuldip Sharma allows following entities to bill medicare on his behalf.
Entity NameMid Valley Gastorenterology Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679637292
PECOS PAC ID: 5092748921
Enrollment ID: O20050913000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kuldip Sharma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kuldip Sharma, MD
255 N Breiel Blvd,
Middletown, OH 45042-3807

Ph: (513) 422-5915
Dr Kuldip Sharma, MD
255 N Breiel Blvd,
Middletown, OH 45042-3807

Ph: (513) 422-5915

Reviews and Comments


Internal Medicine Doctors in Middletown, OH

Dr. Clifford Quinn Cabansag, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 4302 Roosevelt Blvd, Middletown, OH 45044
Phone: 513-433-1032    Fax: 513-433-1245
Lotfi F Mamlouk, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 6730 Roosevelt Ave Ste 303, Middletown, OH 45005
Phone: 513-874-0486    Fax: 513-280-8868
Ali Usmani, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044
Phone: 513-217-6400    Fax: 513-217-6037
Scott Lawrence Zollett, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Medical Center Dr, Suite 490, Middletown, OH 45005
Phone: 513-424-1291    Fax: 513-424-9422
Stephen Houff, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 105 Mcknight Dr, Middletown, OH 45044
Phone: 330-493-4443    Fax: 330-493-8677
Stephen R Moore, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Summitt Sq, Middletown, OH 45042
Phone: 513-425-0533    Fax: 513-425-0527
Gary C Brown, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 103 Mcknight Dr, Suite A, Middletown, OH 45044
Phone: 513-217-6400    Fax: 513-217-6037

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.