Active NPI
Kiran Sajja, M.D.
- Ophthalmology Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 71281
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71281 | GA | MD | Ophthalmology Physician |
| 036.120757 | IL | MD | Ophthalmology Physician |
| 35.096094 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpharetta Eye Surgery Center LLC | Current | Accepting new patients | |
| Buford Eye Surgery Center | Current | Accepting new patients | |
| Forsyth Eye Surgery Center, LLC | Current | Accepting new patients | |
| Roswell Eye Surgery Center, LLC | Current | Accepting new patients | |
| Milan Eye LLC | Ophthalmology | Current | Accepting new patients |
| Canton Eye Surgery Center | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1992122329
-
- Ambulatory Surgical Clinic/Center
- Cumming, GA
- NPI 1649746090
-
dba Roswell Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Marietta, GA
- NPI 1780075861
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1093748527
-
- Otolaryngology Physician
- Greenfield, WI
- NPI 1902991805
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.