Makoto Saigusa, D.M.D, M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19097 Issued in TX

Practice address

805 Turtle Creek Dr
Tyler, TX 75701-1937

Phone

(903) 592-1664

Fax

(903) 592-6595

NPI assigned

Aug 30, 2006

Last updated

Feb 23, 2023By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General PracticeAlso: Maxillofacial Surgery

Education

University of Texas Medical School at San Antonio, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyler Oral and Facial Surgery IncGroup PAC ID 0446272306, 5 clinicians

Turtle Creek Surgery Center LLCGroup PAC ID 7416923735, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msaigusa355916@ahs.direct-ci.com

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.

• Tyler Oral & Facial Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
  • NPI 1568654077
  Medicare reassignment Care Compare group NPD Authorized official
• Turtle Creek Surgery Center, LLC

  dba Turtle Creek Anesthesia Group

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1437420270
  Medicare reassignment Care Compare group NPD
• Turtle Creek Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1699819979
  NPD (past) Authorized official
• East Texas Medical Center

  dba Etmc EMS

  • Land Ambulance
  • Bellmead, TX
  • NPI 1568964518
  NPD (past)

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

• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1417067497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664",
            "fax_number": "903-592-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664",
            "fax_number": "903-592-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Doctor Cir",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055050",
            "country_code": "US",
            "telephone_number": "903-592-1664",
            "fax_number": "903-593-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIGUSA",
        "first_name": "MAKOTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19097",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "K0551",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "19097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "133237107",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090187804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090187803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090187802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090187801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Roland Saczek, PT
• Kareem Sadek, M.B.B.CH.
• Erika Sadler
• Tara Sadler, APRN
• Sahil Parikh DO PLLC
• Harinandan Sainath, MD
• Kaylah L Saiz
• Sajjan and Associates PLLC
• Rajendra N. Sajjan, M.D.
• Sailaja Sakam, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Tyler, TX
• Providers in Tyler, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.