Individual provider Active NPI

Barry Y.P. Fung, M.D.

  • Ophthalmology Physician
  • Los Altos, CA
National Provider Identifier
1225079205
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A70770 Issued in CA
Practice address
4906 El Camino Real
Ste B
Los Altos, CA 94022-1449
Phone
(650) 967-7834
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 A70770 CA Primary

Addresses

Primary practice location

4906 El Camino Real
Ste B
Los Altos, CA 94022-1449

Mailing address

2449 S King Rd
Ste 10
San Jose, CA 95122-1811
Phone (408) 238-1978

Other identifiers 1

IdentifierTypeStateIssuer
7180235MedicaidCA

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
I20081219000195 CA Practitioner - Ophthalmology 9931117512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2449 S King Rd
San Jose, CA 95122-1811
Phone (408) 238-1978

4906 El Camino Real B
The Eye Institute of Silicon Valley
Los Altos, CA 94022-1451
Phone (650) 967-7834

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70770CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Eye Institute, a Medical Corporation Ophthalmology CurrentSince May 21, 2008 Accepting new patients
Eye Face & Body Surgery Center LLC CurrentSince Mar 22, 2010 Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

20269 Stevens Creek Blvd
Cupertino, CA 95014
Phone (408) 296-0100

4906 El Camino Real
Ste B
Los Altos, CA 94022
Phone (650) 967-7834

246 Ranch Dr
Milpitas, CA 95035
Phone (408) 263-9936

2449 S King Rd
Ste 10
San Jose, CA 95122
Phone (408) 238-1978

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bfung231602@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1225079205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 S KING RD",
            "address_2": "STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221811",
            "telephone_number": "408-238-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 EL CAMINO REAL",
            "address_2": "STE B",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221449",
            "telephone_number": "650-967-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "BARRY",
        "middle_name": "Y.P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A70770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7180235",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.