Malvika Sharma, MD - Medicare Family Medicine in Durham, NC

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Malvika Sharma, MD is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Durham, North Carolina. Her current practice location is 40 Duke Medicine Cir # 1l, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 681-1700.

Malvika Sharma is licensed to practice in North Carolina (license number 2024-01459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649765470.

Contact Information

Malvika Sharma, MD
40 Duke Medicine Cir # 1l,
Durham, NC 27710-4927
(919) 681-1700
Not Available

Map and Direction




Physician's Profile

Full NameMalvika Sharma
GenderFemale
SpecialityFamily Medicine - Sleep Medicine
Location40 Duke Medicine Cir # 1l, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649765470
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 09/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971840174
  • Enrollment ID: I20241111001877

Medical Identifiers

Medical identifiers for Malvika Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649765470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS1201XFamily Medicine - Sleep Medicine 2024-01459 (North Carolina)Primary
207QS1201XFamily Medicine - Sleep Medicine MD473467 (Pennsylvania)Secondary
207RP1001XInternal Medicine - Pulmonary Disease MD473467 (Pennsylvania)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 292031 (Massachusetts)Secondary

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. Malvika Sharma allows following entities to bill medicare on her behalf.
Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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. Malvika 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
Malvika Sharma, MD
1400 Vfw Pkwy,
West Roxbury, MA 02132-4927

Ph: () -		Malvika Sharma, MD
40 Duke Medicine Cir # 1l,
Durham, NC 27710-4927

Ph: (919) 681-1700

Reviews and Comments


Family Medicine Doctors in Durham, NC

Dr. Kimberly Hawblitzel Yarnall, M.D.
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Medicare: Medicare Enrolled
Practice Location: 815 Broad St, Durham, NC 27705
Phone: 919-684-8111    
Dr. Martha Jane Parah, MD
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Practice Location: 5017 Friends School Rd, Durham, NC 27705
Phone: 919-383-6828    Fax: 919-383-7219
Dr. Andrea Gilroy, DPM
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713
Phone: 919-932-5700    Fax: 919-933-6881
Almaz Smith, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
William Purdy, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Laura Cone Gay, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7011 Fayetteville Rd Ste 200, Durham, NC 27713
Phone: 919-361-2644    Fax: 919-484-0849
Andrea Flores, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1301 Fayetteville St, Durham, NC 27707
Phone: 919-956-4000    

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.