Dr Sanjay Kumar Sharma, MD - Medicare Plastic And Reconstructive Surgery in Austin, TX

Dr Sanjay Kumar Sharma, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Austin, Texas. He went to Baylor College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Seton Family Of Doctors and his current practice location is 1400 N Ih 35, Suite 320, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 324-8320.

Dr Sanjay Kumar Sharma is licensed to practice in Texas (license number K6503) 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 1083703656.

Contact Information

Dr Sanjay Kumar Sharma, MD
1400 N Ih 35, Suite 320,
Austin, TX 78701-1926
(512) 324-8320
(512) 324-8323

Map and Direction




Physician's Profile

Full NameDr Sanjay Kumar Sharma
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience28 Years
Location1400 N Ih 35, Austin, Texas
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 Sanjay Kumar Sharma attended and graduated from Baylor College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1083703656
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 11/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0547240087
  • Enrollment ID: I20040723000861

Medical Identifiers

Medical identifiers for Dr Sanjay Kumar Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083703656NPI-NPPES
8AJ353OtherTXBCBS INDIVIDUAL NUMBER
162500602MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0105XPlastic Surgery - Surgery Of The Hand K6503 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dell Seton Med Center At The University Of TxAustin, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Seton Family Of Doctors0941333280663

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 Sanjay Kumar Sharma allows following entities to bill medicare on his behalf.
Entity NameDell Childrens Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326072943
PECOS PAC ID: 8224092978
Enrollment ID: O20041112001030
Entity NameSeton Family Of Doctors
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588997233
PECOS PAC ID: 0941333280
Enrollment ID: O20100806000260

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 Sanjay Kumar 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 Sanjay Kumar Sharma, MD
1400 N Ih 35, Sutie 320,
Austin, TX 78701-1926

Ph: (512) 324-8320
Dr Sanjay Kumar Sharma, MD
1400 N Ih 35, Suite 320,
Austin, TX 78701-1926

Ph: (512) 324-8320

Reviews and Comments


Plastic Surgery Doctors in Austin, TX

Sally Matika, PA-C
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6818 Austin Center Blvd Ste 204, Austin, TX 78731
Phone: 512-867-6211    
Mr. James Thomas Robison Iv, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 5656 Bee Cave Rd, Suite J-200, Austin, TX 78746
Phone: 512-450-1077    Fax: 512-450-1817
Kelly Eugene Tjelmeland, M D
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Medicare: Medicare Enrolled
Practice Location: 4220 Bull Creek Rd, Austin, TX 78731
Phone: 512-617-7500    
E Richard Parker, M. D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4220 Bull Creek Rd, Austin, TX 78731
Phone: 512-617-7500    
Dr. Dustin Leon Reid, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 901 W 38th St, Suite 401, Austin, TX 78705
Phone: 512-371-8817    Fax: 512-371-8819
Dr. David Brian Dellinger, DO
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11623 Angus Rd, Suite C15, Austin, TX 78759
Phone: 512-229-1978    Fax: 512-229-1978

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.