Active NPI
Sam Edwin Sato, M.D.
- Ophthalmology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14758
- Practice address
- 3910 N Campbell Ave
Tucson, AZ 85719-1428 - Phone
- (520) 323-2466
- Fax
- (520) 323-2968
- NPI assigned
- Jun 28, 2005
- Last updated
- Jun 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14758 | AZ | Primary |
Addresses
Primary practice location
3910 N Campbell Ave
Tucson, AZ 85719-1428
Mailing address
6440 N Thimble Pass
Tucson, AZ 85750-1321
Phone (520) 529-1917
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02719 | Other | AZ | TRICARE |
| 02719 | Other | AZ | UNITED HEALTHCARE |
| 005302638 | Other | AZ | CIGNA |
| 1Z2321 | Other | AZ | HEALTHNET |
| 247751 | Medicaid | AZ | |
| AZ0181600 | Other | AZ | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14758 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sean J. McCafferty, MD, PC | Ophthalmology | Current | Accepting new patients |
| Christopher M Seniw MD PC | Ophthalmology | Past | Accepting new patients |
| Cornea Associates, PLLC | Ophthalmology | Past | Accepting new patients |
Locations
2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020
3055 W Ina Rd
Ste 121
Tucson, AZ 85741
Phone (520) 293-5353
3910 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-2466
395 N Silverbell Rd
Ste 301
Tucson, AZ 85745
Phone (520) 742-7444
6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400
6422 E Speedway Blvd
Ste 101
Tucson, AZ 85710
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1316146574
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1528367158
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1124091996
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1164516522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1831196427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 N THIMBLE PASS",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857501321",
"telephone_number": "520-529-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 N CAMPBELL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191428",
"telephone_number": "520-323-2466",
"fax_number": "520-323-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATO",
"first_name": "SAM",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "14758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "02719",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "02719",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "005302638",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z2321",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247751",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0181600",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.