Individual provider Active NPI

Ho Sun Choi, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1053579169
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A112440 Issued in CA
Practice address
2081 Forest Ave Ste 2
San Jose, CA 95128-4841
Phone
(408) 777-6350
Fax
(408) 777-6354
NPI assigned
May 26, 2008
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 A112440 CA Primary

Addresses

Primary practice location

2081 Forest Ave Ste 2
San Jose, CA 95128-4841

Mailing address

2081 Forest Ave Ste 2
San Jose, CA 95128-4841
Phone (408) 777-6350

Other identifiers 1

IdentifierTypeStateIssuer
DR731ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101029001210 CA Practitioner - Ophthalmology 9032303664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Clara Ophthalmology IncorporatedGroup PAC ID 8123212750, 3 clinicians

Practice addresses (Care Compare)

20398 Blauer Dr
Saratoga, CA 95070-4307
Phone (408) 777-6350

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112440CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Ophthalmology Incorporated Ophthalmology CurrentSince Oct 4, 2010 Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Eye Love, Inc. Ophthalmology PastSince Nov 24, 2019 Accepting new patients

Locations

1241 E Hillsdale Blvd
Ste 220
Foster City, CA 94404
Phone (650) 288-1633

2081 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 777-6350

20398 Blauer Dr
Saratoga, CA 95070
Phone (408) 502-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1053579169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "408-777-6350",
            "fax_number": "408-777-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HO SUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-26",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DR731Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.