Individual provider Active NPI

Mark Robert Jajkowski, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Cheektowaga, NY
National Provider Identifier
1073628244
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
210052 Issued in NY
Practice address
2695 Harlem Rd
Cheektowaga, NY 14225-4021
Phone
(716) 332-3505
Fax
(716) 332-3509
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 210052 NY Primary

Addresses

Primary practice location

2695 Harlem Rd
Cheektowaga, NY 14225-4021

Mailing address

515 Abbott Rd
Ste 310
Buffalo, NY 14220-1700
Phone (716) 332-3505

Other identifiers 7

IdentifierTypeStateIssuer
000527369001OtherNYBLUE CROSS/BLUE SHIELD
010549324OtherNYGHI
00026371301OtherNYUNIVERA
040426002783OtherNYFIDELIS
010549324OtherNYEMPIRE UNITED HEALTHCARE
1811716OtherNYINDEPENDENT HEALTH
02414840MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100903000594 NY Practitioner - Thoracic SurgeryPractitioner - Internal Medicine 2365566874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians

Practice addresses (Care Compare)

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

825 Wehrle Dr
Williamsville, NY 14221-7717
Phone (716) 634-3243

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2018 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2018 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

515 Abbott Rd
Buffalo, NY 14220
Phone (716) 827-8220

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

515 Abbott Rd
Ste 101
Buffalo, NY 14220
Phone (716) 821-7714

515 Abbott Rd
Ste 310
Buffalo, NY 14220
Phone (716) 332-3505

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243

Interoperability endpoints

  • Direct secure messaging: mjajkowski22038@direct.chsbuffalo.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1073628244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "STE 310",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-332-3505",
            "fax_number": "716-332-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254021",
            "telephone_number": "716-332-3505",
            "fax_number": "716-332-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJKOWSKI",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "210052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000527369001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "010549324",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026371301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002783",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE UNITED HEALTHCARE",
            "identifier": "010549324",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1811716",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02414840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.