KAEDE ALISSA SASAHARA (AUD) – Audiologist, NPI 1417672700

KAEDE ALISSA SASAHARA (AUD) is a healthcare provider. based in Houston, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AUD004346 (TX). The NPI Number for KAEDE ALISSA SASAHARA (AUD) is 1417672700

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KAEDE ALISSA SASAHARA (AUD)
NPI
1417672700
Phone
(713) 827-1767
Address
12900 QUEENSBURY LN STE 100
Enumeration Date
10 October 2022
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7705070384
Graduation Year
2022 (4 years ago)
PAC ID
5597132217
Group Practice PAC ID
6002800570
Professional Enrollment ID
I20221108003722
Address ID
GA302819044ST214XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

666 QUALIFIED AUDIOLOGIST in TX

Provider Addresses for KAEDE ALISSA SASAHARA (AUD)

  • 12900 QUEENSBURY LN STE 100

    HOUSTON, TX 770793714

    Phone: (713) 827-1767

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221108003722IQualified AudiologistGATBD
I20251201001961IQualified AudiologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test6565$0
92567Test to assess middle ear function6565$0
View full utilization report →

Insurance plans in this area (ZIP 77079)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002800570View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KAEDE ALISSA SASAHARA (AUD)?
The federal identifier for KAEDE ALISSA SASAHARA (AUD) is NPI 1417672700.
Is KAEDE ALISSA SASAHARA (AUD) active in the national directory?
KAEDE ALISSA SASAHARA (AUD)'s public NPI profile is in an active state.
Can you summarize KAEDE ALISSA SASAHARA (AUD)'s specialty in plain language?
Clinically, the directory lists KAEDE ALISSA SASAHARA (AUD) with Audiologist. Clinical services aligned with this taxonomy classification.
What location shows for KAEDE ALISSA SASAHARA (AUD)?
We surface Houston, Texas for KAEDE ALISSA SASAHARA (AUD) based on available NPPES addresses.
Is KAEDE ALISSA SASAHARA (AUD) a real provider?
This page reflects official NPPES data for NPI 1417672700. Always confirm identity and privileges with the practice and licensing boards.

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