Individual provider Active NPI

Ian Chauncey Uber, M.D.

  • Ophthalmology Physician
  • Portsmouth, VA
National Provider Identifier
1891016796
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101266036 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708
Phone
(757) 953-9710
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26377 NE
General Practice Physician 208D00000X 26377 NE
Ophthalmology Physician 207W00000X 0101266036 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-9701

Other practice location 1

3206 Churchland Blvd
Chesapeake, VA 23321-5206
Phone (757) 484-0101

Other identifiers 1

IdentifierTypeStateIssuer
1891016796MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190606000918 VA Practitioner - Ophthalmology 4183962798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SdecGroup PAC ID 2264830645, 2 clinicians

Practice addresses (Care Compare)

3298 Main St
Exmore, VA 23350-4707
Phone (757) 481-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.03 of 100Reported as group
Quality
97.57
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
92.37 of 100Reported as group
Quality
99.62
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Eye Care PLLC Ophthalmology CurrentSince May 8, 2019 Accepting new patients
Wagner Kapoor Research Institute LLC CurrentSince Sep 1, 2026 Accepting new patients
Retina & Vitreous Center PC CurrentSince Sep 1, 2026 Accepting new patients
Sdec Ophthalmology CurrentSince May 15, 2021 Accepting new patients

Locations

3206 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 484-0101

3298 Main St
Exmore, VA 23350
Phone (757) 442-5079

1062A W Mercury Blvd
Hampton, VA 23666

6160 Kempsville Cir
Ste 250B
Norfolk, VA 23502
Phone (757) 631-2723

6160 Kempsville Cir
Ste 120B
Norfolk, VA 23502

Interoperability endpoints

  • Direct secure messaging: iuber@southsideeye.intellechartdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1891016796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3206 Churchland Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233215206",
            "country_code": "US",
            "telephone_number": "757-484-0101",
            "fax_number": "757-484-0515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBER",
        "first_name": "IAN",
        "middle_name": "CHAUNCEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "26377",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "26377",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101266036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891016796",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.