Claudia Sanmiguel, M.D.
NPI 1144474610 · Gastroenterology Physician · Santa Monica, CA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claudia Sanmiguel, M.D. is a Gastroenterology Physician provider in Santa Monica, CA (NPI 1144474610).
Provider details
- NPI number
- 1144474610
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A116218 (CA)
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 tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
725 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 239 | $192 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 115 | $81 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 67 | $89 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 55 | $136 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 51 | $149 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 139 | 75 |
| Famotidine | 107 | 59 |
| Dicyclomine Hcl | 106 | 62 |
| Plecanatidebrand: Trulance | 33 | — |
| Omeprazole | 28 | 15 |
| Linaclotidebrand: Linzess | 22 | — |
| Lansoprazole | 21 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,513 across 59 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
Additional practice locations (1)
- 5401 E El Jardin StLong Beach, CA 90815-4115Phone: (310) 883-8320
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2021-09-14
- Certified
- 2021-09-14
Frequently asked questions
- What is Claudia Sanmiguel's NPI number?
- Claudia Sanmiguel's National Provider Identifier (NPI) is 1144474610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claudia Sanmiguel's specialty?
- Claudia Sanmiguel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Claudia Sanmiguel located?
- Claudia Sanmiguel's practice location on file with NPPES is 1301 20th St Ste 280, Santa Monica, CA 90404-2053.
- What is Claudia Sanmiguel's phone number?
- The practice phone number listed in the NPPES registry for Claudia Sanmiguel is (310) 829-6789.
- Does Claudia Sanmiguel accept Medicare?
- Claudia Sanmiguel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claudia Sanmiguel's NPI active?
- Yes — Claudia Sanmiguel's NPI (1144474610) is active in the NPPES registry as of the last update on 2021-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.