Active NPI
Saujanya Vadoothker, M.D.
- Ophthalmology Physician
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD84691
- Practice address
- 1405 Main St
Conway, SC 29526-3568 - Phone
- (843) 488-7730
- NPI assigned
- Apr 30, 2013
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD84691 | SC | Primary |
Addresses
Primary practice location
1405 Main St
Conway, SC 29526-3568
Mailing address
1405 Main St
Conway, SC 29526-3568
Phone (843) 488-7730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Medical University of South Carolina College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1406 Main St
Conway, SC 29526-3567
Phone (843) 488-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.34 of 100
- Quality
- 59.52
- Improvement activities
- 40
- Cost
- 75.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD84691 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Vaught Eye Associates, PA | Ophthalmology | Current | Accepting new patients |
| Vaught Eye Associates,PA | Ophthalmology | Current | Accepting new patients |
| Scripps Health | Past | Accepting new patients |
Locations
1405 Main St
Conway, SC 29526
Phone (843) 488-1895
1405 Main St
Ste B
Conway, SC 29526
Phone (843) 488-7730
1406 Main St
Conway, SC 29526
Phone (843) 488-2020
Interoperability endpoints
- svadoothker165429@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Conway, SC
- NPI 1942660931
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1295170678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263568",
"telephone_number": "843-488-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MAIN ST",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263568",
"telephone_number": "843-488-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADOOTHKER",
"first_name": "SAUJANYA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "MD84691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.