Individual provider Active NPI

George Jiao, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1962026286
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
76223 Issued in MN
Practice address
3601 W 76TH St Ste 300
Edina, MN 55435-6215
Phone
(952) 929-1131
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 76223 MN Primary

Addresses

Primary practice location

3601 W 76TH St Ste 300
Edina, MN 55435-6215

Mailing address

3601 W 76TH St Ste 300
Edina, MN 55435-6215
Phone (952) 929-1131

Other practice location 1

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Other practice location 2

715 S 8th St
Minneapolis, MN 55404-7530
Phone (612) 873-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240729002069 MN Practitioner - Ophthalmology 9335587732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin Healthcare System Inc 905 clinicians

Practice addresses (Care Compare)

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jul 1, 2024 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

2830 Cutters Grove Ave
Ste 100
Anoka, MN 55303
Phone (612) 871-2292

11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104

3601 W 76th St
Fl 3
Edina, MN 55435

99 Navaho Ave
Ste 100
Mankato, MN 56001
Phone (507) 385-1311

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100

Interoperability endpoints

  • Direct secure messaging: gjiao@vrssurgery.intellechartdirect.net

Organizations & group practices 7

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1962026286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356215",
            "telephone_number": "952-929-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356215",
            "telephone_number": "952-929-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554047530",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIAO",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "76223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.