Look up the most recent NPI and PECOS records

Sharda Ram

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Sharda Ram is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1457947582
Provider Type
Individual
Full Name
Ram, Sharda
Gender
Female

Sole Proprietor
No
Enumeration Date
12/13/2020
Last Updated
10/13/2025

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(352) 445-6491

Unlisted Fax

Mailing Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(352) 445-6491

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11009552 Florida
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License RN10005382 Massachusetts
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 0036346 Ohio
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 101.0137023 Vermont
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 111282-23 New Hampshire
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License AC006603 Maryland
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License NP500017285 District of Columbia
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License CNP241180 Maine
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 4017016 Kentucky
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License APRN04149 Rhode Island
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License LG-0012719 Delaware
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 53-83082-092 Kansas

Sharda Ram

PECOS Enrollment

Profile Details

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