Individual provider Active NPI

Mark Worrall Sands, M.D.

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1043416191
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27962 Issued in OR
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 706-5811
Fax
(541) 706-5867
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27962 OR Primary

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

335 NW Uptown Ter
1A
Portland, OR 97210-5555
Phone (503) 481-9001

Other practice location 1

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1630
Phone (503) 413-2901

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msands138475@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000587 OR Practitioner - Internal Medicine 9537234588 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, shared by 10 NPIs, 174 clinicians

Practice addresses (Care Compare)

1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone (541) 548-8131

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-2768

Hospital & facility affiliations

  • Vistariver Hospice Hospice, Wilsonville, OR, CCN 381574
  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
  • St Charles Madras Hospital, Madras, OR, CCN 381324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
St. Charles Health System, Inc. CurrentSince Aug 1, 2021 Accepting new patients
St. Charles Health System, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 1, 2008 Accepting new patients
St. Charles Health System, Inc. Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
St. Charles Health System, Inc. Internal Medicine Current Accepting new patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2800 N Vancouver Ave
Ste 230
Portland, OR 97227
Phone (503) 413-2901

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2800 N Vancouver Ave
Ste 201
Portland, OR 97227
Phone (503) 276-9000

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1043416191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NW UPTOWN TER",
            "address_2": "1A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105555",
            "telephone_number": "503-481-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-706-5811",
            "fax_number": "541-706-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Vancouver Ave",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271630",
            "country_code": "US",
            "telephone_number": "503-413-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "MARK",
        "middle_name": "WORRALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msands138475@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.