Active NPI
Rajendra N. Sajjan, M.D.
- Hospitalist Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- P1402
- Practice address
- 7119 Nottaway Dr
Tyler, TX 75703-5883 - Phone
- (740) 645-2833
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-08-3487 | OH | |
| Hospitalist Physician | 208M00000X | P1402 | TX | Primary |
Addresses
Primary practice location
7119 Nottaway Dr
Tyler, TX 75703-5883
Mailing address
7119 Nottaway Dr
Tyler, TX 75703-5883
Phone (740) 645-2833
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500225 | Medicaid | OH | |
| 000000322021 | Other | ANTHEM BCBS | |
| 000000185269 | Other | OH | UNISON MEDICAID # |
| 001714151 | Other | MOUNTAIN STATE BCBS | |
| 1699722280 | Other | NPI | |
| 2006784000 | Medicaid | WV | |
| P00074055 | Other | OH | RR MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
- Christus Mother Frances Hospital
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Henderson Hospital
- Ut Health East Texas Athens Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 41.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1402 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sajjan and Associates PLLC | Internal Medicine | Current | Accepting new patients |
| Tyler Regional Hospital LLC | Past | Accepting new patients |
Locations
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- rsajjan355704@ahs.direct-ci.com
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.
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1164846093
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1699722280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 NOTTAWAY DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757035883",
"telephone_number": "740-645-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7119 NOTTAWAY DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757035883",
"telephone_number": "740-645-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJJAN",
"first_name": "RAJENDRA",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-08-3487",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "P1402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500225",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000322021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON MEDICAID #",
"identifier": "000000185269",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "001714151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1699722280",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006784000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00074055",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.