Individual provider Active NPI

Sophia Siu, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1508132564
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
287624 Issued in NY
Practice address
5318 7TH Ave
Brooklyn, NY 11220-3121
Phone
(212) 858-9828
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 287624 NY Primary

Addresses

Primary practice location

5318 7TH Ave
Brooklyn, NY 11220-3121

Mailing address

5318 7TH Ave
Brooklyn, NY 11220-3121
Phone (212) 858-9828

Other practice location 1

37-01 Main St, 2nd Fl
Flushing, NY 11354
Phone (718) 808-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171010000713 NY Practitioner - Ophthalmology 4385933431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sophia Siu M.D. PLLCGroup PAC ID 7315288750, 3 clinicians

Practice addresses (Care Compare)

5318 7TH Ave
Brooklyn, NY 11220-3121
Phone (212) 858-9828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sophia Siu M.D. PLLC Ophthalmology CurrentSince Feb 18, 2019 Accepting new patients
Ny Comprehensive Medical Wellness P.C. CurrentSince Dec 1, 2017 Accepting new patients
Ronald C. Huang M.D. LLC CurrentSince Aug 9, 2020 Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

3701 Main St
Ste 2
Flushing, NY 11354
Phone (718) 808-8181

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ssiu68990@northwell.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1508132564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203121",
            "telephone_number": "212-858-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203121",
            "telephone_number": "212-858-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37-01 Main St, 2nd Fl",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "718-808-8688",
            "fax_number": "718-868-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIU",
        "first_name": "SOPHIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "287624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.