Doctor profile · Federal record
Dr. Sawsawn Hayatdavoudi, M.D
Emergency Medicine Physician (CMS: Emergency Medicine) · San Jose, CA
- NPI 1265487649
- Accepts Medicare
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
225 North Jackson Avenue
San Jose, CA 95116
(408) 923-7121 - Mailing address
-
2100 Powell Street, Ste 920
Emeryville, CA 946081803
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 27, 2007
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- California #A84223
- Medicaid
- CA #00A842230
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265487649. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
272
Distinct HCPCS
8
Medicare allowed
$27,566
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 62 | 60 | $150 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 58 | 56 | $109 | |
81003 |
Automated urinalysis test | 35 | 34 | $2 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $135 | |
87635 |
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 31 | 31 | $50 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 20 | 20 | $16 | |
87637 |
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 16 | 16 | $140 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $198 |
In context: peer comparison
Among 31 peers in this city , average services per provider: 115. This provider delivers 2.4× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
76
Patients
74
Total drug cost
$781
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Doxycycline Monohydrate | Generic | 30 | 29 | $352 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 23 | 22 | $249 |
| Lagevrio (Eua) (Molnupiravir) | Brand | 12 | 12 | $113 |
| Cephalexin | Generic | 11 | 11 | $67 |
Frequently asked questions
What is Dr. Sawsawn Hayatdavoudi's medical specialty?
Dr. Sawsawn Hayatdavoudi practices Emergency Medicine Physician in San Jose, CA.
Where does Dr. Sawsawn Hayatdavoudi practice?
Dr. Sawsawn Hayatdavoudi practices at 225 North Jackson Avenue, San Jose, CA 95116. Office phone: 4089237121.
What is Dr. Sawsawn Hayatdavoudi's NPI?
Dr. Sawsawn Hayatdavoudi's National Provider Identifier (NPI) is 1265487649, issued by NPPES.
Does Dr. Sawsawn Hayatdavoudi accept Medicare assignment?
Yes. Dr. Sawsawn Hayatdavoudi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sawsawn Hayatdavoudi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Automated urinalysis test (HCPCS 81003). Source: CMS Medicare Physician & Other Practitioners file.