MS. SANJANA LUTHER M.D.
NPI 1023467198
Internal Medicine - Gastroenterology in Austin, TX

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
79.43/100
CMS Quality Rating
7951 SHOAL CREEK BLVD STE 200, AUSTIN, TX 78757(512) 454-4588(512) 459-9869 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sanjana Luther M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANJANA LUTHER M.D. (NPI 1023467198) is an individual gastroenterology provider in Austin, Texas, licensed in Texas (T7636) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Temple University School Of Medicine (2016).

NPPES Registry Identity

NPI1023467198
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMS. SANJANA LUTHERCredential: M.D.
Location Address7951 SHOAL CREEK BLVD STE 200Austin, TX 78757-7581
Mailing AddressPo Box 10597Austin, TX 78766-1597 · (512) 485-5889 · Fax (512) 420-0397
Fax(512) 459-9869
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
NPI 1023467198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · T7636
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7951 SHOAL CREEK BLVD STE 200, Austin, TX 78757

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Sanjana Luther M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557740727
PECOS Enrollment IDI20220617001172
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
172 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services70 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
99 services88 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services41 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.61
Promoting Interoperability100
Improvement Activities40
Cost78.84

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Nurse Practitioner
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Internal Medicine (Gastroenterology)
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Physician Assistant
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Physician Assistant (Medical)
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Case Manager/Care Coordinator
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Internal Medicine (Gastroenterology)
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757
Physician Assistant (Medical)
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjana Luther's NPI number?

The NPI number for Sanjana Luther is 1023467198. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Sanjana Luther located?

Sanjana Luther practices at 7951 Shoal Creek Blvd Ste 200, Austin, TX 78757. The listed phone number is (512) 454-4588.

What is Sanjana Luther's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sanjana Luther enrolled in Medicare?

Yes. Sanjana Luther is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sanjana Luther affiliated with any hospitals?

According to CMS data, Sanjana Luther is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjana Luther was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.