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DR. JEFF W CHIU D.O.
NPI 1104279348
Emergency Medicine in San Jose, CA

Active since July 22, 2016PECOS Enrolled
851 S BACOM AVE, SAN JOSE, CA 95128(408) 885-5000(513) 715-4076 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2020, Feb 6, 2020, Jun 4, 2019 (3 updates tracked since 2019).

About Dr. Jeff W Chiu D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFF W CHIU D.O. (NPI 1104279348) is an individual emergency medicine provider in San Jose, California, licensed in California (20A15789) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1104279348
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JEFF W CHIUCredential: D.O.
Location Address851 S BACOM AVESan Jose, CA 95128
Mailing Address1001 Galaxy Way Ste 400Concord, CA 94520-5725 · (925) 482-8402 · Fax (925) 482-2825
Phone(408) 885-5000
Fax(513) 715-4076
Sole ProprietorNo
Enumeration DateJuly 22, 2016
Last NPPES UpdateJuly 31, 20203 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
✔ NPI 1104279348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 20A15789
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A15789 (CA)
851 S BACOM AVE, San Jose, CA 95128
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Secondary Practice Location 1

Location 12222 Bancroft WayBerkeley, CA 94720-4301 · Phone (510) 642-6621 · Fax (510) 642-1801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeff W Chiu D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jeff Chiu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
Same address
Federally Qualified Health Center (FQHC)
2400 MOORPARK AVE, STE 100, 118, 204, 212, 220
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1336135912 (408) 885-5000
Contra Costa County
46 mi
Adult Mental Health
1420 WILLOW PASS RD
Concord, CA 94520
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1023188489 (925) 646-5480
Sonoma Valley Emergency Physicians Medical Group, Inc
73 mi
Emergency Medicine
347 ANDRIEUX ST
Sonoma, CA 95476
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1710164629 (330) 493-4443
Chavez Emergency Physicians Medical Group, Inc.
189 mi
Emergency Medicine
1065 BUCKS LAKE RD
Quincy, CA 95971
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1689045015 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Chiu's NPI number?

The NPI number for Jeff Chiu is 1104279348. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Jeff Chiu located?

Jeff Chiu practices at 851 S Bacom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Jeff Chiu's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeff Chiu enrolled in Medicare?

Yes. Jeff Chiu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeff Chiu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Chiu reassigns Medicare benefits to 4 organizations: County Of Santa Clara (San Jose, CA), Contra Costa County (Concord, CA), Sonoma Valley Emergency Physicians Medical Group, Inc (Sonoma, CA) and Chavez Emergency Physicians Medical Group, Inc. (Quincy, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeff Chiu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeff Chiu was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.