Individual provider Active NPI

Julie CHI-Lung Tsai, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1861496630
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J9400 Issued in TX
Practice address
311 Camden St Ste 309
San Antonio, TX 78215-2013
Phone
(210) 225-8882
Fax
(210) 225-8987
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 J9400 TX Primary

Addresses

Primary practice location

311 Camden St Ste 309
San Antonio, TX 78215-2013

Mailing address

311 Camden St Ste 309
San Antonio, TX 78215-2013
Phone (210) 225-8882

Other practice location 1

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 916-3710

Other practice location 2

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, Bldg 4554
JBSA Lackland, TX 78236
Phone (210) 292-7412

Other practice location 3

343 W Houston St
Ste 109
San Antonio, TX 78205-2262
Phone (210) 225-8882

Other identifiers 1

IdentifierTypeStateIssuer
129707903MedicaidTX

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
I20040615001293 TX Practitioner - Ophthalmology 7810971066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9400TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Richard Keh PC Ophthalmology CurrentSince Jul 5, 1995 Accepting new patients

Locations

311 Camden St
Ste 309
San Antonio, TX 78215
Phone (210) 222-9049

343 W Houston St
Ste 109
San Antonio, TX 78205
Phone (210) 225-8882

Organizations & group practices 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1861496630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152013",
            "telephone_number": "210-225-8882",
            "fax_number": "210-225-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST STE 309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152013",
            "telephone_number": "210-225-8882",
            "fax_number": "210-225-8987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Wilford Hall Ambulatory Surgical Center",
            "address_2": "1100 Wilford Hall Loop, Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "JBSA Lackland",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-292-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 W Houston St",
            "address_2": "Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782052262",
            "country_code": "US",
            "telephone_number": "210-225-8882",
            "fax_number": "210-225-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JULIE",
        "middle_name": "CHI-LUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J9400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129707903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.