Individual provider Active NPI

Sahana Vyas, M.D.

  • Ophthalmology Physician
  • Merrillville, IN
National Provider Identifier
1851312326
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01071628A Issued in IN
Practice address
8679 Connecticut Street
Suite a
Merrillville, IN 46410
Phone
(219) 769-9022
Fax
(219) 769-9022
NPI assigned
Jul 21, 2006
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01071628A IN Primary
Ophthalmology Physician 207W00000X 036131211 IL

Addresses

Primary practice location

8679 Connecticut Street
Suite a
Merrillville, IN 46410

Mailing address

8679 Connecticut Street
Suite a
Merrillville, IN 46410
Phone (219) 769-9022

Other identifiers 6

IdentifierTypeStateIssuer
496710OtherINMEDICARE
660093003OtherILMEDICARE LICENSE
201135120MedicaidIN
036131211MedicaidIL
036131211OtherILILLINOIS LICENSE
01071628AOtherININDIANA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121031000016 IL Practitioner - Ophthalmology 9830127869 Reassigns benefits to 1 organization
I20121110000031 IN Practitioner - Ophthalmology 9830127869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous Associates, PCGroup PAC ID 5294882957, 6 clinicians
Retina Associates, PCGroup PAC ID 1951438076, 6 clinicians

Practice addresses (Care Compare)

4930 W 95TH St
Oak Lawn, IL 60453-2504
Phone (708) 424-8855

8679 Connecticut St
Suite a
Merrillville, IN 46410-6383
Phone (219) 769-9022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131211ILMDOphthalmology Physician
01071628AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Associates, PC Ophthalmology CurrentSince Sep 1, 2012 Accepting new patients
Retina Associates, PC Ophthalmology CurrentSince Sep 1, 2012 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
North Indiana Retina LLC Ophthalmology PastSince Sep 1, 2012 Accepting new patients

Locations

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4930 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-8855

15255 S 94th Ave
Ste 202E
Orland Park, IL 60462
Phone (708) 364-1700

8679 Connecticut St
Ste A
Merrillville, IN 46410
Phone (219) 769-9022

2000 Franklin St
Ste A
Michigan City, IN 46360
Phone (219) 872-4445

931 Ridge Rd
Ste H
Munster, IN 46321
Phone (219) 836-4110

4400 N Calumet Ave
Ste 100
Valparaiso, IN 46383
Phone (219) 242-8221

Interoperability endpoints

  • Direct secure messaging: svyas100526@direct.franciscanalliance.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1851312326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8679 CONNECTICUT STREET",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-9022",
            "fax_number": "219-769-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 CONNECTICUT STREET",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-9022",
            "fax_number": "219-769-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "SAHANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01071628A",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036131211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "496710",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LICENSE",
            "identifier": "660093003",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201135120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131211",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "036131211",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01071628A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.