Active NPI
George Jiao, MD
- Ophthalmology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 76223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
- Hennepin County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal Surgery PLLC | Ophthalmology | Current | Accepting new patients |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | 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
- 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.
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Community/Retail Pharmacy
- Minneapolis, MN
- NPI 1265657746
-
- Psychiatric Hospital Unit
- Minneapolis, MN
- NPI 1356369524
-
- Home Health Agency
- Minneapolis, MN
- NPI 1770957219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.