Individual provider Active NPI

Kiran Sajja, M.D.

  • Ophthalmology Physician
  • Suwanee, GA
National Provider Identifier
1013129725
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
71281 Issued in GA
Practice address
1300 Peachtree Industrial Blvd
Suite 1201
Suwanee, GA 30024-4539
Phone
(678) 381-2020
Fax
(678) 381-2015
NPI assigned
May 4, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.120757 IL
Ophthalmology Physician 207W00000X 35.096094 OH
Ophthalmology Physician 207W00000X 71281 GA Primary

Addresses

Primary practice location

1300 Peachtree Industrial Blvd
Suite 1201
Suwanee, GA 30024-4539

Mailing address

1300 Peachtree Industrial Blvd
Suite 1201
Suwanee, GA 30024-4539
Phone (678) 381-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312002006 GA Practitioner - Ophthalmology 0345309696 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Eye LLCGroup PAC ID 2668519109, 21 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
94
Promoting interoperability
71
Improvement activities
40
Cost
77.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71281GAMDOphthalmology Physician
036.120757ILMDOphthalmology Physician
35.096094OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpharetta Eye Surgery Center LLC CurrentSince Aug 27, 2019 Accepting new patients
Buford Eye Surgery Center CurrentSince Mar 11, 2015 Accepting new patients
Forsyth Eye Surgery Center, LLC CurrentSince Feb 17, 2024 Accepting new patients
Roswell Eye Surgery Center, LLC CurrentSince Dec 28, 2015 Accepting new patients
Milan Eye LLC Ophthalmology CurrentSince Mar 1, 2014 Accepting new patients
Canton Eye Surgery Center CurrentSince Mar 25, 2015 Accepting new patients
Woodhams Laser & Lens Implant Center LLC Past Accepting new patients
Greater Milwaukee Otolaryngology LLC Past Accepting new patients

Locations

2555 Westside Pkwy
Ste 300
Alpharetta, GA 30004

2555 Westside Pkwy
Ste 325
Alpharetta, GA 30004

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

201 Kimberly Way
Ste 104
Canton, GA 30114

201 Kimberly Way
Ste 200
Canton, GA 30114

970 Sanders Rd
Ste 100
Cumming, GA 30041

270 Walmart Way
Dahlonega, GA 30533
Phone (706) 867-6918

73 Prestige Ln
Ste 201
Dawsonville, GA 30534

3775 Roswell Rd
Ste 100
Marietta, GA 30062

3775 Roswell Rd
Ste 175
Marietta, GA 30062

5671 Peachtree Dunwoody Rd
Ste 630
Sandy Springs, GA 30342
Phone (404) 939-9200

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

1300 Peachtree Industrial
Dallas, TX 75373

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1013129725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 1201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 1201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244539",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "KIRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.120757",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.096094",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "71281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.