Individual provider Active NPI

Sara Ladan Hojjatie, MD

  • Ophthalmology Physician
  • Tacoma, WA
National Provider Identifier
1679096010
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.MD.61591299 Issued in WA
Practice address
4707 S 19TH St
Tacoma, WA 98405-1157
Phone
(253) 248-2020
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD.MD.61591299 WA Primary

Addresses

Primary practice location

4707 S 19TH St
Tacoma, WA 98405-1157

Mailing address

4707 S 19TH St
Tacoma, WA 98405-1157
Phone (253) 248-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241011000917 WA Practitioner - Ophthalmology 7012319783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye MDS of Puget Sound PLLCGroup PAC ID 4981696952, 6 clinicians

Practice addresses (Care Compare)

4707 S 19TH St
Suite 210
Tacoma, WA 98405-1151
Phone (253) 248-2020

Merit-based Incentive Payment System (MIPS)

Final score
96.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
87.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.61591299WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye MDS of Puget Sound PLLC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Eye MDS of Puget Sound, PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2401 Bristol Ct SW
Ste B101
Olympia, WA 98502
Phone (253) 272-4600

4707 S 19th St
Tacoma, WA 98405
Phone (253) 248-2020

4707 S 19th St
Ste 210
Tacoma, WA 98405
Phone (253) 248-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1679096010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051157",
            "telephone_number": "253-248-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051157",
            "telephone_number": "253-248-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOJJATIE",
        "first_name": "SARA",
        "middle_name": "LADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD.MD.61591299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.