DR. SAPNA V THOMAS MD
NPI 1881614931
Internal Medicine - Gastroenterology in Cleveland, OH

Q: What is Sapna Thomas's NPI number?

The NPI number for Sapna Thomas is 1881614931. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Sapna Thomas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sapna Thomas was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

90.9/100

CMS Quality Rating

11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-8500 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Sapna V Thomas Md NPPES

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

DR. SAPNA V THOMAS MD (NPI 1881614931) is an individual gastroenterology provider in Cleveland, Ohio, licensed in Ohio (35-079644) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1998).

NPPES Registry Identity

NPI1881614931

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SAPNA V THOMASCredential: MD

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address32800 Lorain RdNorth Ridgeville, OH 44039-3430 · (440) 406-5500

Phone(216) 844-8500

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1998

Enumeration DateJuly 20, 2006

Last NPPES UpdateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1881614931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in OH · 35-079644✔ Licensed in OH · 35079644

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.

11100 EUCLID AVE, Cleveland, OH 44106

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Other Identifiers 8

Medicaid2571328OH

OtherP00425536OH · Railroad Medicare

Other000000539522OH · Anthem

Other364077OH · Wellcare

OtherP00243132OH · Railroad Medicare

Other000000224464OH · Unison

Other741794OH · Buckeye

Other7964738OH · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.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

Dr. Sapna V Thomas 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 ID7517903925

PECOS Enrollment IDI20050707000011

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 11

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.

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.

106 services106 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.

87 services72 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.

80 services80 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

37 services37 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.

35 services35 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.

25 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.

19 services19 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.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

13 services13 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360123

Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County

Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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.

90.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.8

Promoting Interoperability

100

Improvement Activities

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.

DR. YU HYON KIM MD

Ophthalmology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-3601

JENNIFER LYNN PARRY RN, CPNP

Nurse Practitioner (Pediatrics)

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5691

RAINBOW BABIES & CHILDREN'S HOSPITAL

General Acute Care Hospital (Children)

11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5261

DR. KA CHUN ALAN CHAN M.D

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHOR CHEUNG TAM M.D.

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 333-8948

DOMINIC CERCONE

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHRISTOPHER FELCHLIA MD

Anesthesiology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-2273

GABRIELLA MARGUERITE RUSTIA MD

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-8570

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 Sapna Thomas's NPI number?

The NPI number for Sapna Thomas is 1881614931. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Sapna Thomas located?

Sapna Thomas practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-8500.

What is Sapna Thomas's specialty?

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

Is Sapna Thomas enrolled in Medicare?

Yes. Sapna Thomas 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 Sapna Thomas accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Sapna Thomas 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 Sapna Thomas affiliated with any hospitals?

According to CMS data, Sapna Thomas is affiliated with Parma Community General Hospital, Uh St John Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Sapna Thomas was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.