Individual provider Active NPI

Saujanya Vadoothker, M.D.

  • Ophthalmology Physician
  • Conway, SC
National Provider Identifier
1295170678
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD84691 Issued in SC
Practice address
1405 Main St
Conway, SC 29526-3568
Phone
(843) 488-7730
NPI assigned
Apr 30, 2013
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828001509 SC Practitioner - Ophthalmology 7810113669 Reassigns benefits to 1 organization

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
Vaught Eye Associates, PAGroup PAC ID 7416939715, 12 clinicians

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 100Reported as group
Quality
59.52
Improvement activities
40
Cost
75.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD84691SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Vaught Eye Associates, PA Ophthalmology CurrentSince Aug 31, 2020 Accepting new patients
Vaught Eye Associates,PA Ophthalmology CurrentSince Aug 31, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.