Individual provider Active NPI

Divya Sharma, MD

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1083679393
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD150064 Issued in OR
Practice address
711 NE Irving Ave
Bend, OR 97701-4738
Phone
(541) 330-9110
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 MD150064 OR Primary

Addresses

Primary practice location

711 NE Irving Ave
Bend, OR 97701-4738

Mailing address

711 NE Irving Ave
Bend, OR 97701-4738
Phone (541) 330-9110

Other identifiers 1

IdentifierTypeStateIssuer
500638509MedicaidOR

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
I20121106000685 OR Practitioner - Internal Medicine 6204875974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New Mexico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pine Springs Health LLCGroup PAC ID 0547617797, 2 clinicians

Practice addresses (Care Compare)

711 NE Irving Ave
Bend, OR 97701-4738
Phone (541) 480-2807

Hospital & facility affiliations

  • Partners Home Health Home health agency, Bend, OR, CCN 387067
  • St. Charles Home Health Services Home health agency, Bend, OR, CCN 387026
  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD150064ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Springs Health LLC CurrentSince Nov 1, 2023 Accepting new patients
La Pine Community Health Center CurrentSince Jul 12, 2019 Accepting new patients

Locations

711 NE Irving Ave
Bend, OR 97701
Phone (541) 255-1530

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1083679393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-330-9110",
            "fax_number": "541-330-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-330-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "DIVYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD150064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500638509",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.