Active NPI
Sophia Siu, MD
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1508132564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 287624
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5318 7TH Ave
Brooklyn, NY 11220-3121
Phone (212) 858-9828
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 153 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophia Siu M.D. PLLC | Ophthalmology | Current | Accepting new patients |
| Ny Comprehensive Medical Wellness P.C. | Current | Accepting new patients | |
| Ronald C. Huang M.D. LLC | Current | 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
- 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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1649736570
-
- Dermatopathology Physician
- Bronx, NY
- NPI 1912419698
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1851901474
-
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1881228930
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.