Sophia Balderman, MD
NPI 1104098607 · Hematology (Internal Medicine) Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophia Balderman, MD is a Hematology (Internal Medicine) Physician provider in Cleveland, OH (NPI 1104098607).
Provider details
- NPI number
- 1104098607
- Entity type
- Individual
- Primary specialty
- Hematology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 254222 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
452 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 155 | $113 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 90 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 69 | $135 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 28 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 76 | 28 |
| Levofloxacin | 43 | 16 |
| Hydroxyurea | 39 | 11 |
| Ropeginterferon Alfa-2b-Njftbrand: Besremi | 24 | — |
| Valacyclovir Hclbrand: Valacyclovir | 22 | — |
| Ruxolitinib Phosphatebrand: Jakafi | 20 | — |
| Lenalidomide | 20 | — |
| Venetoclax |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2022-01-17
- Certified
- 2022-01-17
Frequently asked questions
- What is Sophia Balderman's NPI number?
- Sophia Balderman's National Provider Identifier (NPI) is 1104098607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sophia Balderman's specialty?
- Sophia Balderman is listed in the NPPES registry with a primary specialty of Hematology (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sophia Balderman located?
- Sophia Balderman's practice location on file with NPPES is 9500 Euclid Ave, Cleveland, OH 44195-0001.
- What is Sophia Balderman's phone number?
- The practice phone number listed in the NPPES registry for Sophia Balderman is (716) 845-2300.
- Does Sophia Balderman accept Medicare?
- Sophia Balderman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sophia Balderman's NPI active?
- Yes — Sophia Balderman's NPI (1104098607) is active in the NPPES registry as of the last update on 2022-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.