Individual provider Active NPI

Richard L. Jahnle, M.D.

  • Ophthalmology Physician
  • Havertown, PA
National Provider Identifier
1083619878
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0290208E Issued in PA
Practice address
2010 West Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737
Phone
(610) 446-2260
Fax
(610) 446-3360
NPI assigned
Jun 17, 2005
Last updated
May 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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 MD0290208E PA Primary

Addresses

Primary practice location

2010 West Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737

Mailing address

2010 West Chester Pike
Wellness Center; Suite 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Other identifiers 2

IdentifierTypeStateIssuer
23-2075896OtherPATAX ID
180008668OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100708000585 PA Practitioner - Ophthalmology 0547391500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard L Jahnle MD PCGroup PAC ID 0244492882, 6 clinicians

Practice addresses (Care Compare)

2010 W Chester Pike
Wellness Center Suite 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.48 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
98.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery561

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0290208EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Jahnle MD PC Ophthalmology CurrentSince Mar 7, 2012 Accepting new patients
Domenick Braccia D.O. PastSince May 1, 2012 Accepting new patients

Locations

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 446-2260

Interoperability endpoints

  • Direct secure messaging: drjahnle@jahnleeye.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1083619878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "WELLNESS CENTER; SUITE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WEST CHESTER PIKE",
            "address_2": "WELLNESS CENTER; SUITE 310",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNLE",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD0290208E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "23-2075896",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180008668",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.