Vivek Sambhara, M.D.
NPI 1093005852 · Pulmonary Disease Physician · Gainesville, GA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vivek Sambhara, M.D. is a Pulmonary Disease Physician provider in Gainesville, GA (NPI 1093005852).
Provider details
- NPI number
- 1093005852
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36045 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,010 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 657 | $118 |
| Evaluation of Use of Breathing Device94664 | 449 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 249 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 229 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 223 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 168 | $50 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 37 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 1,027 | 247 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 482 | 173 |
| Montelukast Sodium | 343 | 111 |
| Mepolizumabbrand: Nucala | 187 | 20 |
| Prednisone | 157 | 110 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 106 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$92,065 across 89 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-13
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Vivek Sambhara's NPI number?
- Vivek Sambhara's National Provider Identifier (NPI) is 1093005852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vivek Sambhara's specialty?
- Vivek Sambhara is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Vivek Sambhara located?
- Vivek Sambhara's practice location on file with NPPES is 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3861.
- What is Vivek Sambhara's phone number?
- The practice phone number listed in the NPPES registry for Vivek Sambhara is (770) 536-9864.
- Does Vivek Sambhara accept Medicare?
- Vivek Sambhara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vivek Sambhara's NPI active?
- Yes — Vivek Sambhara's NPI (1093005852) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.