Individual provider Active NPI

Jie Gao, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Houston, TX
National Provider Identifier
1669882221
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
S1098 Issued in TX
Practice address
7789 Southwest Fwy Ste 530
Houston, TX 77074-1834
Phone
(281) 495-2222
Fax
(281) 495-2146
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X S1098 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X S1098 TX Primary

Addresses

Primary practice location

7789 Southwest Fwy Ste 530
Houston, TX 77074-1834

Mailing address

7789 Southwest Fwy Ste 530
Houston, TX 77074-1834
Phone (812) 495-2222

Other identifiers 1

IdentifierTypeStateIssuer
401898805MedicaidTX

Other names 1

  • Jim Gao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190808002813 TX Practitioner - Ophthalmology 6103176854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Retina Associates PAGroup PAC ID 5799744926, 6 clinicians

Practice addresses (Care Compare)

7789 Southwest Fwy
Suite 530
Houston, TX 77074-1834
Phone (281) 495-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1098TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Retina Associates PA Ophthalmology CurrentSince Jul 4, 2021 Accepting new patients
Baylor College of Medicine Ophthalmology CurrentSince May 21, 2019 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients
Baylor College of Medicine CurrentSince May 21, 2019 Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 206
Houston, TX 77070

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

9225 Katy Fwy
Ste 104
Houston, TX 77024

7789 Southwest Fwy
Ste 530
Houston, TX 77074
Phone 2814952222106

18980 W Memorial Dr
Ste 410
Humble, TX 77338

23920 Katy Fwy
Ste 575
Katy, TX 77494

17510 W Grand Pkwy S
Ste 470
Sugar Land, TX 77479

561 W Medical Center Blvd
Webster, TX 77598
Phone (559) 977-4981

561 W Medical Center Blvd
Ste E
Webster, TX 77598

Organizations & group practices 5

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1669882221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741834",
            "telephone_number": "812-495-2222",
            "fax_number": "281-749-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741834",
            "telephone_number": "281-495-2222",
            "fax_number": "281-495-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "JIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "S1098",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "S1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401898805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "GAO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.