Active NPI
Wittaya Michael Sattasiri, MD
- Radiation Oncology Physician
- Columbia, TN
National Provider Identifier
1821198029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD0000037469
- Practice address
- 808 S James M Campbell Blvd
Columbia, TN 38401-4338 - Phone
- (407) 788-1906
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000037469 | TN | |
| Radiation Oncology Physician | 2085R0001X | MD0000037469 | TN | Primary |
Addresses
Primary practice location
808 S James M Campbell Blvd
Columbia, TN 38401-4338
Mailing address
PO Box 305172 Dept 163
Nashville, TN 37230-5172
Phone (407) 788-1906
Other practice location 1
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113874 | Medicaid | TN | |
| 4113874 | Other | TN | BLUE CROSS BLUE SHIELD |
Other names 1
- Witiya Michael Satasiri
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Radiation Oncology
- Education
- Stanford University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
808 S James M Campbell Blvd
Columbia, TN 38401-4338
Phone (931) 388-4057
Hospital & facility affiliations
- Maury Regional Hospital
- Wayne Medical Center
- Vanderbilt University Medical Center
- Marshall Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.71 of 100
- Quality
- 77.43
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000037469 | TN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Cancer Institue Inc | Specialist | Current | Accepting new patients |
| Columbia Radiation Oncology | Specialist | Past | Accepting new patients |
Locations
808 S James M Campbell Blvd
Columbia, TN 38401
Phone (931) 381-3872
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
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.
-
- Specialist
- Columbia, TN
- NPI 1831374743
-
- Specialist
- Murfreesboro, TN
- NPI 1881880961
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waynesboro, TN
- NPI 1811927544
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Critical Access Hospital
- Lewisburg, TN
- NPI 1578591756
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1821198029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 305172 DEPT 163",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372305172",
"telephone_number": "407-788-1906",
"fax_number": "407-865-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S JAMES M CAMPBELL BLVD",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014338",
"telephone_number": "407-788-1906"
}
],
"practiceLocations": [
{
"address_1": "1224 Trotwood Ave",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "TN",
"postal_code": "38401",
"country_code": "US",
"telephone_number": "931-380-4057",
"fax_number": "931-540-4224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SATTASIRI",
"first_name": "WITTAYA",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000037469",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "MD0000037469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4113874",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4113874",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WITIYA",
"last_name": "SATASIRI",
"middle_name": "MICHAEL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.