Individual provider Active NPI

Mithlesh C. Sharma, M.D.

  • Ophthalmology Physician
  • Clackamas, OR
National Provider Identifier
1528052719
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD221852 Issued in OR
Practice address
12100 SE Stevens CT Ste 106
Clackamas, OR 97086-4707
Phone
(800) 813-2000
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD221852 OR Primary
Ophthalmology Physician 207W00000X A93698 CA
Ophthalmology Physician 207W00000X MD61578994 WA
Ophthalmology Physician 207W00000X MD2023-0550 NM

Addresses

Primary practice location

12100 SE Stevens CT Ste 106
Clackamas, OR 97086-4707

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone (800) 813-2000

Other practice location 1

1 University Of New Mexico # 116052
Albuquerque, NM 87131-4807
Phone (505) 272-6120

Other practice location 2

14406 NE 20th Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, OR, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060410000177 CA Practitioner - Ophthalmology 2365414208 Reassigns benefits to 1 organization
I20230531001712 NM Practitioner - Ophthalmology 2365414208 Reassigns benefits to 1 organization
I20240906002767 OR Practitioner - Ophthalmology 2365414208 Reassigns benefits to 1 organization
I20240909001493 WA Practitioner - Ophthalmology 2365414208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12100 SE Stevens CT
Suite 106
Portland, OR 97086-4707
Phone (800) 813-2000

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

Merit-based Incentive Payment System (MIPS)

Final score
91.42 of 100Reported as group
Quality
79.72
Promoting interoperability
95
Improvement activities
40
Cost
79.19

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93698CAMDOphthalmology Physician
MD2023-0550NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Ophthalmology Current Accepting new patients
Permanente Medical Group Inc Ophthalmology CurrentSince Oct 13, 2010 Accepting new patients
Unm Medical Group, Inc. CurrentSince May 12, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 13, 2010 Accepting new patients
Unm Medical Group Inc CurrentSince May 12, 2023 Accepting new patients
Permanente Medical Group Inc Ophthalmology Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 27, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Ophthalmology CurrentSince Jun 27, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 19, 2024 Accepting new patients
Ophthalmic Physicians, Inc Ophthalmology Past Accepting new patients
Soll Eye PC of NJ Ophthalmology Past Accepting new patients
Retina Associates of Cleveland, Inc. Ophthalmology Past Accepting new patients
Retina Associates of Cleveland Past Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2025 Morse Ave
Sacramento, CA 95825

1650 Response Rd
Sacramento, CA 95815
Phone (916) 614-4040

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

12100 SE Stevens Ct
Ste 106
Portland, OR 97086
Phone (503) 331-6330

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1528052719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322031",
            "telephone_number": "800-813-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT STE 106",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970864707",
            "telephone_number": "800-813-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico # 116052",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871314807",
            "country_code": "US",
            "telephone_number": "505-272-6120",
            "fax_number": "505-272-6125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14406 NE 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986861448",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "MITHLESH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD221852",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A93698",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61578994",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2023-0550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.