Individual provider Active NPI

Jeanie Paik, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1912268129
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
271152 Issued in NY
Practice address
220 Meridian Ave
San Jose, CA 95126-2998
Phone
(408) 869-3403
Fax
(408) 869-3459
NPI assigned
Jun 4, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 271152 NY Primary
Cornea and External Diseases Specialist Physician 207WX0120X A168810 CA

Addresses

Primary practice location

220 Meridian Ave
San Jose, CA 95126-2998

Mailing address

220 Meridian Ave
San Jose, CA 95126-2998
Phone (408) 869-3403

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpaik@bdhealth.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200811003572 CA Practitioner - Ophthalmology 1355631383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Chicago, Pritzker School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Physicians a Medical CorporationGroup PAC ID 2961459094, 15 clinicians

Practice addresses (Care Compare)

10300 S de Anza Blvd
Suite a
Cupertino, CA 95014-3030
Phone (408) 253-3083

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.76 of 100Reported as group
Quality
94.46
Improvement activities
40
Cost
76.58

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as group
Quality
88.99
Improvement activities
40
Cost
71.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery136
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271152NYMDOphthalmology Physician
A168810CAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Dec 1, 2023 Accepting new patients
Spectrum Eye Physicians, a Medical Corporation Ophthalmology CurrentSince Dec 1, 2023 Accepting new patients
Central Dupage Hospital Association Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Crawford Long Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Emory University Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

10300 S De Anza Blvd
Cupertino, CA 95014
Phone (408) 252-7310

10300 S De Anza Blvd
Ste A
Cupertino, CA 95014
Phone (408) 253-3083

431 Monterey Ave
Ste 3
Los Gatos, CA 95030
Phone (408) 354-9510

2100 Forest Ave
Ste 108
San Jose, CA 95128
Phone (408) 240-2614

2577 Samaritan Dr
Ste 740
San Jose, CA 95124
Phone (408) 252-7310

1663 Dominican Way
Ste 212
Santa Cruz, CA 95065
Phone (831) 226-2636

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jpaik@sep.intellechartdirect.net

Organizations & group practices 9

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.

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912268129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262998",
            "telephone_number": "408-869-3403",
            "fax_number": "408-869-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262998",
            "telephone_number": "408-869-3403",
            "fax_number": "408-869-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "JEANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "271152",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "CA",
            "license": "A168810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpaik@bdhealth.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "220 Meridian Ave",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951262998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.