Individual provider Active NPI

John Zhong Xie, M.D., PH.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1972861664
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
UNKNOWN Issued in CA
Practice address
200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1500
Phone
(626) 297-3055
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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 UNKNOWN CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1500
Phone (626) 297-3055

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
I20150303000765 CA Practitioner - Ophthalmology 3173849502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye AssociatesGroup PAC ID 1052386760, 3 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 350
San Jose, CA 95116-1594
Phone (408) 923-8138

Merit-based Incentive Payment System (MIPS)

Final score
25.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123069CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Associates Ophthalmology CurrentSince Feb 14, 2015 Accepting new patients
Advanced Eye Associates Ophthalmology CurrentSince Feb 14, 2015 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

200 Jose Figueres Ave
Ste 350
San Jose, CA 95116
Phone (408) 923-8138

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jxie187409@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIGBA

Organizations & group practices 3

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1972861664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "626-297-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "626-297-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "JOHN",
        "middle_name": "ZHONG",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.