DR. SAILAJA SAKAM M.D.
NPI 1023399144
Internal Medicine in Tyler, TX

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
800 E DAWSON ST, TYLER, TX 75701(903) 606-4129 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sailaja Sakam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAILAJA SAKAM M.D. (NPI 1023399144) is an individual internal medicine provider in Tyler, Texas, licensed in New York (279711) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1023399144
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAILAJA SAKAMCredential: M.D.
Location Address800 E DAWSON STTyler, TX 75701-2036
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 1, 2011
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1023399144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 279711
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 E DAWSON ST, Tyler, TX 75701

Secondary Practice Location 1

Location 11650 Selwyn Ave, Apt#19 EBronx, NY 10457-7626 · Phone (347) 401-0028

Other Identifiers 2

Other1F0508TX · Medicare
Medicaid377677502TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sailaja Sakam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890009096
PECOS Enrollment IDI20170922003212
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
413 services223 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
278 services133 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
196 services192 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
175 services172 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%196 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers54 claims54 services$18.71 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers65 claims70 services$99.39 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$25.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
800 E DAWSON ST
TYLER, TX 75701
Registered Nurse (Registered Nurse First Assistant)
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Anesthesiology (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701
Emergency Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine
800 E DAWSON ST
TYLER, TX 75701
Internal Medicine (Critical Care Medicine)
800 E DAWSON ST
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sailaja Sakam's NPI number?

The NPI number for Sailaja Sakam is 1023399144. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Sailaja Sakam located?

Sailaja Sakam practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-4129.

What is Sailaja Sakam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sailaja Sakam enrolled in Medicare?

Yes. Sailaja Sakam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sailaja Sakam accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Sailaja Sakam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sailaja Sakam affiliated with any hospitals?

According to CMS data, Sailaja Sakam is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Sailaja Sakam was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.