DR. SAPNA SANJAY SHAH MD
NPI 1982867156
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cleveland, OH

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Sapna Sanjay Shah Md NPPES

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

DR. SAPNA SANJAY SHAH MD (NPI 1982867156) is an individual endocrinology, diabetes & metabolism provider in Cleveland, Ohio, licensed in Illinois (036.136251) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Drexel University College Of Medicine (2008).

NPPES Registry Identity

NPI1982867156
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SAPNA SANJAY SHAHCredential: MD
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (630) 545-6016
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2008
Enumeration DateJuly 8, 2008
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPI 1982867156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in IL · 036.136251
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2500 METROHEALTH DR, Cleveland, OH 44109

Other Identifiers 2

OtherF400169005IL · Medicare Ptan Individual
Other206147IL · Medicare Ptan Group

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

Dr. Sapna Sanjay Shah 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 ID1759502701
PECOS Enrollment IDI20230418002845
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 8

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.

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.
109 services59 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
85 services34 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.
36 services16 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services19 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.
26 services24 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers80 claims85 services$195.73 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 20

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

Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Pediatrics (Pediatric Nephrology)
2500 METROHEALTH DR, ROOM A-109
CLEVELAND, OH 44109
Internal Medicine
2500 METROHEALTH DR, METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC
CLEVELAND, OH 44109
Ophthalmology
2500 METROHEALTH DR
CLEVELAND, OH 44109

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 Shah's NPI number?

The NPI number for Sapna Shah is 1982867156. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Sapna Shah located?

Sapna Shah practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Sapna Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sapna Shah enrolled in Medicare?

Yes. Sapna Shah 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 Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sapna Shah 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 Shah affiliated with any hospitals?

According to CMS data, Sapna Shah is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Sapna Shah was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.