Individual provider Active NPI

Dikshya Sharma, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Longview, WA
National Provider Identifier
1639581226
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD208075 Issued in OR
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 414-2730
Fax
(360) 414-2739
NPI assigned
May 30, 2014
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 290123-1 NY
Internal Medicine Physician 207R00000X MD61272999 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD208075 OR Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD61272999 WA
Pulmonary Disease Physician 207RP1001X 81592 WI
Pulmonary Disease Physician 207RP1001X MD61272999 WA
Pulmonary Disease Physician 207RP1001X MD208075 OR
Pulmonary Disease Physician 207RP1001X 61272999 WA

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

2305 Glen Haven Rd
Lake Oswego, OR 97034-5712
Phone (646) 919-1473

Other practice location 1

1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7211

Other practice location 2

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111

Other practice location 3

827 Spring St
Medford, OR 97504-6104
Phone (541) 732-7600

Other practice location 4

475 Seaview Avenue
Staten Island, NY 10305
Phone (718) 226-9000

Other practice location 5

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsharma235063@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OR, WA, WI, AR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200811003007 VA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4688090418 Reassigns benefits to 1 organization
I20220321001754 OR Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4688090418 Reassigns benefits to 9 organizations
I20220406000780 WA Practitioner - Pulmonary Disease 4688090418 Reassigns benefits to 1 organization
I20230124001876 WI Practitioner - Internal Medicine 4688090418 Reassigns benefits to 2 organizations
I20230309001286 AR Practitioner - Critical Care (Intensivists) 4688090418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290123-1NYMDInternal Medicine Physician
MD208075ORMDCritical Care Medicine (Internal Medicine) Physician
MD61272999WAMDCritical Care Medicine (Internal Medicine) Physician
61272999WAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince May 1, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Feb 1, 2023 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Sep 15, 2022 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 10, 2025 Accepting new patients
McKenzie Physician Services LLC CurrentSince Apr 1, 2023 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 10, 2025 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Sep 23, 2023 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Feb 1, 2023 Accepting new patients
MCV Associated Physicians CurrentSince Nov 4, 2022 Accepting new patients
Peacehealth Internal Medicine CurrentSince May 24, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince May 9, 2022 Accepting new patients
Peacehealth CurrentSince Jun 2, 2022 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince May 9, 2022 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Nov 7, 2022 Accepting new patients
Jefferson Hospital Association, Inc Pulmonary Disease Current Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jul 12, 2023 Accepting new patients
Peacehealth Past Accepting new patients
Peacehealth Past Accepting new patients

Locations

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

29980 Network Pl
Chicago, IL 60673

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

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

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: dsharm05@yourcarecommunity.org
  • Direct secure messaging: dsharma554238@direct.peacehealth.org

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 1

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": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1639581226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GLEN HAVEN RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345712",
            "telephone_number": "646-919-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-2730",
            "fax_number": "360-414-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716036301",
            "country_code": "US",
            "telephone_number": "870-541-7211",
            "fax_number": "870-541-4297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305472",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 Spring St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046104",
            "country_code": "US",
            "telephone_number": "541-732-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Avenue",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10305",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "DIKSHYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290123-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61272999",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD208075",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD61272999",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "81592",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD61272999",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD208075",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "61272999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsharma235063@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.