Kenneth Scott Jaffe, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME78885 Issued in FL

Practice address

130 John F Kennedy Dr
Suite 134
Atlantis, FL 33462-1141

Phone

(561) 439-0308

Fax

(561) 328-6776

NPI assigned

Nov 30, 2005

Last updated

Mar 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGBDAD/Endpoint/DGBDAD

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.

• Kenneth S Jaffe MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlantis, FL
  • NPI 1235326471
  Medicare reassignment NPD Authorized official
• Florida Urgent Care Center, LLC.

  • Urgent Care Clinic/Center
  • Plant City, FL
  • NPI 1053065284
  Medicare reassignment NPD
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1013908912
  Medicare reassignment NPD
• Kenneth S. Jaffe, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1518210814
  NPD (past) Authorized official
• Kenneth S. Jaffe, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boynton Beach, FL
  • NPI 1629227269
  NPD (past) Authorized official
• Kenneth S. Jaffe, MD, PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1295037786
  NPD (past) Authorized official
• Florida Urgent Care Centers, LLC.

  • Urgent Care Clinic/Center
  • Lake Worth, FL
  • NPI 1427884774
  NPD
• Independent Imaging LLC

  • Radiology Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1174989255
  NPD
• Palm Beach Surgical Associates

  • Surgery Physician
  • Atlantis, FL
  • NPI 1902930795
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elite Home Health Group LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1578954335
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1174507529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-0308",
            "fax_number": "561-328-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-0308",
            "fax_number": "561-328-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME78885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "002008791-002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0746706",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "P-2364360",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2423088",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260146000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "269348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "51774",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "1023545",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2509859",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE DISTRIC",
            "identifier": "651050544",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5269380",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "2165459",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "H04908",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTHCARE",
            "identifier": "162142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC (IRL Pathology Services)
• Jeffrey Isacson
• J.F.K. Pediatrics Inc.
• Indira Jadunandan
• Reena Jain, M.D.
• Jaime Lynne Jansen, ARNP
• Herold Jean Francois, APRN
• Jennifer C Jean, APRN
• Jem Research, LLC (JEM Research Institute)

• Geriatric Medicine (Internal Medicine) Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.

Verify at the official NPI Registry.