DR. SPARSHA SARALAYA M.D
NPI 1043483399
Internal Medicine in Cleveland, OH

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment
18200 LORAIN AVE, FAIRVIEW HOSPITAL, CLEVELAND, OH 44111(216) 476-7029 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sparsha Saralaya M.d NPPES

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

DR. SPARSHA SARALAYA M.D (NPI 1043483399) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.094649) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1043483399
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SPARSHA SARALAYACredential: M.D
Location Address18200 LORAIN AVE, FAIRVIEW HOSPITALCleveland, OH 44111-5605
Mailing Address18200 Lorain Ave, Fairview HospitalCleveland, OH 44111-5605
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 8, 2008
Last NPPES UpdateMay 24, 2012
✔ NPI 1043483399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.094649
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18200 LORAIN AVE, Cleveland, OH 44111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sparsha Saralaya 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 ID8426213752
PECOS Enrollment IDI20120711000325
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sparsha Saralaya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
18101 LORAIN AVE
Cleveland, OH 44111
  • Reassigned Medicare billing, Ohio enrollment
  • 150 clinicians in this Medicare group
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.
95 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services77 patients
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.
51 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Student in an Organized Health Care Education/Training Program
18200 LORAIN AVE
CLEVELAND, OH 44111
Family Medicine
18200 LORAIN AVE
CLEVELAND, OH 44111
Family Medicine
18200 LORAIN AVE
CLEVELAND, OH 44111
Registered Nurse (Women's Health Care, Ambulatory)
18200 LORAIN AVE
CLEVELAND, OH 44111
Internal Medicine (Hematology & Oncology)
18200 LORAIN AVE
CLEVELAND, OH 44111
Family Medicine
18200 LORAIN AVE
CLEVELAND, OH 44111
Nurse Practitioner (Family)
18200 LORAIN AVE, MOLL PAVILION
CLEVELAND, OH 44111
Nurse Practitioner (Adult Health)
18200 LORAIN AVE
CLEVELAND, OH 44111

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 Sparsha Saralaya's NPI number?

The NPI number for Sparsha Saralaya is 1043483399. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Sparsha Saralaya located?

Sparsha Saralaya practices at 18200 Lorain Ave Fairview Hospital, Cleveland, OH 44111. The listed phone number is (216) 476-7029.

What is Sparsha Saralaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sparsha Saralaya enrolled in Medicare?

Yes. Sparsha Saralaya 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.

Which organizations bill Medicare for Sparsha Saralaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sparsha Saralaya reassigns Medicare benefits to 2 organizations: Fairview Hospital (Cleveland, OH) and The Cleveland Clinic Foundation (Avon, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sparsha Saralaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sparsha Saralaya accept?

Health plans from Anthem Blue Cross and Blue Shield list Sparsha Saralaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sparsha Saralaya affiliated with any hospitals?

According to CMS data, Sparsha Saralaya is affiliated with Fairview Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Sparsha Saralaya was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.