Sagun Pendse, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD435508 Issued in PA

Practice address

360 Middletown Blvd
Ste 402
Langhorne, PA 19047-1863

Phone

(215) 757-6200

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

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 2

Specialty

Ophthalmology

Education

Temple University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Advanced Eye CareGroup PAC ID 6103257738, 12 clinicians

Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

92.24 of 100Reported as group

Quality

96.68

Improvement activities

40

Cost

78.55

Merit-based Incentive Payment System (MIPS)

Final score

87.34 of 100Reported as group

Quality

80.85

Promoting interoperability

100

Improvement activities

40

Cost

76.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sagun.pendse.p1@direct.eabc.nextgenshare.com

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

• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009

  Ophthalmology, PA

  Medicare reassignment Care Compare group NPD
• Center for Advanced Eye Care

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1285263566

  DE, Ophthalmology, PA

  Medicare reassignment Care Compare group NPD
• Carty Eye Associates, LTD.

  • Ophthalmology Physician
  • Bryn Mawr, PA
  • NPI 1801836598

  Ophthalmology, PA

  Medicare reassignment NPD
• Forever Young Home Care Agency Inc

  • Home Health Agency
  • Southampton, PA
  • NPI 1326397415
  NPD (past)

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

• City of Phila Trustee Acting by the BRD of Dir of City Trusts

  • Special Hospital
  • Philadelphia, PA
  • NPI 1881899284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1295788941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD",
            "address_2": "STE 402",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-757-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD",
            "address_2": "STE 402",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-757-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDSE",
        "first_name": "SAGUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "CI0007361",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "CI-0007361",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD435508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039626",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele A. Pawling, BA
• Michelle Anne Payne, PSY.D.
• Pegasus Clinical Laboratory Inc
• Michael Pemberton
• Kristina Pena
• Penndel Medical Practice LLC
• Penndel Mental Health Center
• Penndel Mental Health Center, Inc.
• Penndel-Middletown Emergency Squad
• Pennsbury Childrens Dental Health

• All providers in Langhorne, PA
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.

Verify at the official NPI Registry.