Dr Vijay Krishan Sharma, MD - Medicare Family Practice in Decatur, IL

Dr Vijay Krishan Sharma, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Saint James Hospital, Ottawa Regional Hospital And Healthcare Center and his current practice location is 250 W Kenwood Ave, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 872-3800.

Dr Vijay Krishan Sharma is licensed to practice in Illinois (license number 125-066636) 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 1053795765.

Contact Information

Dr Vijay Krishan Sharma, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371
(217) 872-3800
(217) 872-0849

Map and Direction




Physician's Profile

Full NameDr Vijay Krishan Sharma
GenderMale
SpecialityFamily Practice
Experience10 Years
Location250 W Kenwood Ave, Decatur, Illinois
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 Vijay Krishan Sharma graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1053795765
  • Provider Enumeration Date: 07/13/2015
  • Last Update Date: 07/13/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0446564686
  • Enrollment ID: I20181026000437

Medical Identifiers

Medical identifiers for Dr Vijay Krishan Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053795765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125-066636 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Anthony Medical Center For Home CareRockford, ILHome health agency
In-home Care Connection Home Health ServicesMoline, ILHome health agency
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital
Perry Memorial HospitalPrinceton, ILHospital
Osf Saint Paul Medical CenterMendota, ILHospital
Saint James HospitalPontiac, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint James Hospital064818725261
Ottawa Regional Hospital And Healthcare Center913302986149

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 Vijay Krishan Sharma allows following entities to bill medicare on his behalf.
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameSaint James Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891399432
PECOS PAC ID: 0648187252
Enrollment ID: O20050713000208
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Vijay Krishan 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 Vijay Krishan Sharma, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371

Ph: (217) 872-3800
Dr Vijay Krishan Sharma, MD
250 W Kenwood Ave,
Decatur, IL 62526-4371

Ph: (217) 872-3800

Reviews and Comments


Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Amna Karim, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    Fax: 217-864-2449
Amisha Kamath, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Ritika Sharma, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Edward St Ste 3200, Decatur, IL 62526
Phone: 217-876-3660    Fax: 217-876-3665
Dr. Rami M Elmasry, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849

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.