ROOPA SHARMA MD
NPI 1699015024
Pediatrics in White Bear Lake, MN
NPI Status: Active since February 21, 2013
Contact Information
1430 HIGHWAY 96 E
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 653-2100
Fax: (651) 653-2125
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ROOPA SHARMA
This page provides the complete NPI Profile along with additional information for Roopa Sharma, a pediatrician established in White Bear Lake, Minnesota with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1699015024 assigned on February 2013. The practitioner's primary taxonomy code is 208000000X with license number 59807 (MN). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1699015024
- Provider Name
- ROOPA SHARMA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110
- Location Phone
- (651) 653-2100
- Location Fax
- (651) 653-2125
- Mailing Address
- 8170 33RD AVE S MAIL STOP 21110Q MINNEAPOLIS, MN 55425
- Mailing Phone
- (651) 653-2100
- Mailing Fax
- (651) 653-2125
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-21-2013
- Last Update Date
- 01-28-2016
- Code Navigator
A pediatrician like Roopa Sharma is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 59807
- License State
- MN
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Roopa Sharma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55110 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 0 | 1 | 5 | 0 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 0 | 1 | 10 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 0 + 1 + 1 + 0 + 0 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1699015024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386011849 | RENAYE WYGANOWSKI RD, LD Individual | Dietitian, Registered | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1053411157 | ROSALYNN VERTIZ-HACKETT PA Individual | Physician Assistant | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1164966123 | EMILY SCOLLON Individual | Nurse Practitioner (Primary Care) | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1922441278 | DR. RUSSELL SPINGARN M.D. Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1760802151 | DR. KATHLEEN ELIZABETH BAUER M.D. Individual | Pediatrics | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1669532503 | GROUP HEALTHPLAN INC Organization | Durable Medical Equipment & Medical Supplies | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (952) 883-7469 |
| 1619263324 | DR. OWEN D VINCENT DO Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (952) 967-6614 |
| 1881626414 | JENNIFER A RAMSEY CNM Individual | Advanced Practice Midwife | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1043449663 | DR. PADMA PALLAVI YARRAPUREDDY MD Individual | Pediatrics | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1396838066 | ERIN MICALLEF MD Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1275688632 | GROUP HEALTH PLAN INC Organization | Dentist (General Practice) | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 426-9502 |
| 1316559552 | AMIOT SPINE CARE, PLLC Organization | Clinic/Center | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (612) 396-3010 |
| 1699126169 | TOU LEE XIONG M.D. Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (952) 967-6614 |
| 1134547847 | WILLIAM WEDIN M.D. Individual | Pediatrics | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1669882791 | JENNA KELLER MD Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1336348218 | EDUARDO W FERNANDEZ M.D. Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1619597770 | ERIC DEMARIS DO Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1831978428 | TONG VANG Individual | Pharmacist (Ambulatory Care) | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (952) 967-6614 |
| 1104192459 | DR. ANNA MARGARET DANG D.O. Individual | Family Medicine | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
| 1326629213 | MARGARET GAST MD Individual | Pediatrics | 1430 HIGHWAY 96 E WHITE BEAR LAKE, MN 55110 (651) 653-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699015024, enumerated in the NPI registry as an "individual" on February 21, 2013
The provider is located at 1430 Highway 96 E White Bear Lake, Mn 55110 and the phone number is (651) 653-2100
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 21, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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