THAMER SARTAWI MD
NPI 1639540669
Internal Medicine - Pulmonary Disease in Maumee, OH

Active since October 16, 2015PECOS EnrolledAccepts Medicare Assignment
79.46/100
CMS Quality Rating
1200 MEDICAL CENTER PKWY, MAUMEE, OH 43537(419) 794-7720 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Jun 7, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Thamer Sartawi Md NPPES

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

THAMER SARTAWI MD (NPI 1639540669) is an individual pulmonary disease provider in Maumee, Ohio, licensed in Illinois (125.071130) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Regional Medical Center Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639540669
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHAMER SARTAWICredential: MD
Location Address1200 MEDICAL CENTER PKWYMaumee, OH 43537-1921
Mailing Address4235 Secor RdToledo, OH 43623-4299 · (419) 473-3561
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 16, 2015
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1639540669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 125.071130
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1200 MEDICAL CENTER PKWY, Maumee, OH 43537

Secondary Practice Locations 4

Location 13009 N Cypress StWichita, KS 67226-4003 · Phone (316) 440-1010 · Fax (316) 440-0802
Location 28710 W 13th St NWichita, KS 67212-6254 · Phone (316) 440-1010 · Fax (316) 440-0802
Location 3751 N Rutledge StSpringfield, IL 62702-4968 · Phone (217) 545-8000
Location 4225 Williamson StElizabeth, NJ 07202-3625 · Phone (904) 697-8816

Other Identifiers 1

Medicaid0099715OH

Accepted Insurance

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

Thamer Sartawi 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 ID3375814296
PECOS Enrollment IDI20210812002958, I20240717002418, I20250317002386
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 14

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
200 services108 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
108 services50 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.
98 services62 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.
83 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services77 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
40 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Hutchinson Regional Medical Center Inc

Acute Care Hospitals · Hutchinson, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170020
Location1701 E 23rd AvenueHutchinson, KS 67502 · Reno County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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.

79.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.47
Promoting Interoperability100
Improvement Activities40
Cost43.21

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers15 claims40 services$2.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers47 claims56 services$3.76 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers13 claims13 services$36.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims36 services$65.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$32.93 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier16 claims960 services$6.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Hematology & Oncology)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Physician Assistant
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Pharmacy (Clinic Pharmacy)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Clinic/Center (Oncology, Radiation)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Internal Medicine (Hematology & Oncology)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Dietitian, Registered
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Nurse Practitioner (Family)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537
Radiology (Radiation Oncology)
1200 MEDICAL CENTER PKWY
MAUMEE, OH 43537

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 Thamer Sartawi's NPI number?

The NPI number for Thamer Sartawi is 1639540669. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Thamer Sartawi located?

Thamer Sartawi practices at 1200 Medical Center Pkwy, Maumee, OH 43537. The listed phone number is (419) 794-7720.

What is Thamer Sartawi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thamer Sartawi enrolled in Medicare?

Yes. Thamer Sartawi 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.

What insurance does Thamer Sartawi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 12 other insurers list Thamer Sartawi 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 Thamer Sartawi affiliated with any hospitals?

According to CMS data, Thamer Sartawi is affiliated with Hutchinson Regional Medical Center Inc, Promedica Monroe Regional Hospital, Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Thamer Sartawi was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.