Carol Rouphael, M.D.
NPI 1063807204 · Gastroenterology Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carol Rouphael, M.D. is a Gastroenterology Physician provider in Cleveland, OH (NPI 1063807204).
Provider details
- NPI number
- 1063807204
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
236 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 64 | $5 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 49 | $102 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 29 | $234 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $92 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 22 | $75 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 57 | 21 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 39 | 36 |
| Cholestyramine (with Sugar)brand: Cholestyramine | 14 | — |
| Pantoprazole Sodium | 12 | — |
| Famotidine | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-04
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Frequently asked questions
- What is Carol Rouphael's NPI number?
- Carol Rouphael's National Provider Identifier (NPI) is 1063807204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carol Rouphael's specialty?
- Carol Rouphael is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Carol Rouphael located?
- Carol Rouphael's practice location on file with NPPES is 9500 Euclid Ave, Cleveland, OH 44195-0001.
- What is Carol Rouphael's phone number?
- The practice phone number listed in the NPPES registry for Carol Rouphael is (216) 444-2200.
- Does Carol Rouphael accept Medicare?
- Carol Rouphael is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carol Rouphael's NPI active?
- Yes — Carol Rouphael's NPI (1063807204) is active in the NPPES registry as of the last update on 2021-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.