Individual provider Active NPI

Edward Joseph Saub, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1447223219
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A066242 Issued in CA
Practice address
2505 Samaritan Dr
Suite 408
San Jose, CA 95124-4006
Phone
(408) 358-5300
Fax
(408) 358-8999
NPI assigned
Feb 10, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 A066242 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 408
San Jose, CA 95124-4006

Mailing address

2505 Samaritan Dr
Suite 408
San Jose, CA 95124-4006
Phone (408) 358-5300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsaub@southbayophthalmology.direct.eyemdemr.com Health Information Exchange (HIE)

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
I20040511000299 CA Practitioner - Ophthalmology 3870582265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2512 Samaritan CT
Suite C
San Jose, CA 95124-4002
Phone (408) 358-5300

Merit-based Incentive Payment System (MIPS)

Final score
95.94 of 100Reported as individual
Quality
91.88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066242CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Ophthalmology Inc Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
David S. Silverstein, M.D., a Professional Corporation Ophthalmology PastSince Aug 24, 2007 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Edward J. Saub, M.D. Ophthalmology Past Accepting new patients

Locations

2505 Samaritan Dr
Ste 408
San Jose, CA 95124
Phone (408) 358-5300

2512 Samaritan Ct
Ste C
San Jose, CA 95124
Phone (408) 358-3646

Interoperability endpoints

  • Direct secure messaging: drsaub@southbayophthalmology.direct.eyemdemr.com

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1447223219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 408",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-5300",
            "fax_number": "408-358-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 408",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-5300",
            "fax_number": "408-358-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUB",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-08-02",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A066242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsaub@southbayophthalmology.direct.eyemdemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2505 Samaritan Dr Ste 408",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951244012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.