Individual provider Active NPI

Sam Edwin Sato, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1831196427
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14758 Issued in AZ
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02719OtherAZTRICARE
02719OtherAZUNITED HEALTHCARE
005302638OtherAZCIGNA
1Z2321OtherAZHEALTHNET
247751MedicaidAZ
AZ0181600OtherAZBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000797 AZ Practitioner - Ophthalmology 6406875822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14758AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients
Cornea Associates, PLLC Ophthalmology PastSince Jun 1, 2004 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.

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

Verify at the official NPI Registry.