Individual provider Active NPI

Jane Yon Hee Cho, MD

  • Retina Specialist (Ophthalmology) Physician
  • Tucson, AZ
National Provider Identifier
1710248190
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
56139 Issued in AZ
Practice address
5632 E 5TH St
Tucson, AZ 85711-2444
Phone
(520) 790-8888
Fax
(520) 790-1427
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 56139 AZ Primary
Ophthalmology Physician 207W00000X 56139 AZ

Addresses

Primary practice location

5632 E 5TH St
Tucson, AZ 85711-2444

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other practice location 1

40 Capri Blvd Ste 102
Lake Havasu City, AZ 86403-5661
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
388672MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180808002944 AZ Practitioner - Ophthalmology 8325326226 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
Cameron Ria LLCGroup PAC ID 1557543501, 6 clinicians

Practice addresses (Care Compare)

4045 E Union Hills Dr
Suite 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

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
56139AZMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. CurrentSince Dec 11, 2019 Accepting new patients
Cameron Ria LLC Ophthalmology CurrentSince Dec 11, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients

Locations

9185 W Thunderbird Rd
Ste C104
Peoria, AZ 85381

1102 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 665-6900

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

13920 W Camino del Sol
Ste 5
Sun City West, AZ 85375

Interoperability endpoints

  • Direct secure messaging: jcho@pra.intellechartdirect.net

Organizations & group practices 3

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": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1710248190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112444",
            "telephone_number": "520-790-8888",
            "fax_number": "520-790-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Capri Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035661",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "JANE",
        "middle_name": "YON HEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "56139",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "56139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.