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DR. VEDHA SANGHI MD
NPI 1073040051
Internal Medicine - Gastroenterology in Warrensville Heights, OH

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
95.1/100
CMS Quality Rating
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122(216) 491-7861(216) 636-5892 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2023, May 22, 2017 (2 updates tracked since 2017).

About Dr. Vedha Sanghi Md NPPES

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

DR. VEDHA SANGHI MD (NPI 1073040051) is an individual gastroenterology provider in Warrensville Heights, Ohio, licensed in Ohio (35.147106) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Marymount Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1073040051
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VEDHA SANGHICredential: MD
Location Address20000 HARVARD AVEWarrensville Heights, OH 44122-6805
Mailing Address9500 Euclid AveCleveland, OH 44195-0001 · (216) 444-2200 · Fax (216) 445-6290
Phone(216) 491-7861
Fax(216) 636-5892
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 22, 2017
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1073040051 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 OH · 35.147106
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.
20000 HARVARD AVE, Warrensville Heights, OH 44122
Open in Google Maps ↗

Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2336

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.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. Vedha Sanghi Md 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 ID1951679604
PECOS Enrollment IDI20230907000591
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 Reassignment

Medicare enrollment records show Vedha Sanghi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
5.8 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

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 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 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.
43 services42 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.
30 services25 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.
29 services27 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

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

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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.

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.

95.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability99
Improvement Activities40

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.

AMANDA MOWRER FNP-C
Nurse Practitioner (Family)
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
LAUREN SARAH MUNOZ TREMBLAY DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
ALLISON MARKERT M.A. CCC/SLP
Speech-Language Pathologist
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-7390
DR. NOAH ROBERT BELKHAYAT DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
AMMAR KRSO DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
DENISE LYNN ROBISON APRN CNP
Nurse Practitioner
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
TAYLOR JORDAN STANG DO
Internal Medicine
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
TANYA GUPTA
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000

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 Vedha Sanghi's NPI number?

The NPI number for Vedha Sanghi is 1073040051. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Vedha Sanghi located?

Vedha Sanghi practices at 20000 Harvard Ave, Warrensville Heights, OH 44122. The listed phone number is (216) 491-7861.

What is Vedha Sanghi's specialty?

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

Is Vedha Sanghi enrolled in Medicare?

Yes. Vedha Sanghi 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 organization bills Medicare for Vedha Sanghi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vedha Sanghi reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The 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 Vedha Sanghi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vedha Sanghi accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Vedha Sanghi 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 Vedha Sanghi affiliated with any hospitals?

According to CMS data, Vedha Sanghi is affiliated with Marymount Hospital, South Pointe Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Vedha Sanghi was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.