Jeffrey S Jackel, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

51193 Issued in MA

Practice address

639 Granite St Ste 215
Braintree, MA 02184-5371

Phone

(781) 817-5383

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Pain Management

Education

Hahnemann University College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Mazzaferro, DO PCGroup PAC ID 9931202397, 3 clinicians

JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• JJM Medical Services, PC

  • Anesthesiology Physician
  • Waltham, MA
  • NPI 1952548265
  Medicare reassignment Care Compare group NPD
• Richard Mazzaferro DO PC

  • Physical Medicine & Rehabilitation Physician
  • Quincy, MA
  • NPI 1427197136
  Medicare reassignment Care Compare group NPD
• Arbour Inc

  • Psychiatry Physician
  • Boston, MA
  • NPI 1770766529
  Medicare reassignment NPD
• New England Eye Surgical Assoc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1760449979
  Medicare reassignment NPD
• Arbour Inc

  • Psychiatric Hospital
  • Boston, MA
  • NPI 1821068818

  Interventional Pain Medicine

  NPD
• Boston Medical Group, PC

  • Pulmonary Disease Physician
  • Dorchester Center, MA
  • NPI 1538101191
  NPD (past)
• Southeast Anesthesia Assoc

  • Anesthesiology Physician
  • Dorchester Center, MA
  • NPI 1891780078
  NPD (past)
• Steward Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1073826111
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1215915327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845371",
            "telephone_number": "781-817-5383",
            "fax_number": "781-817-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845371",
            "telephone_number": "781-817-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKEL",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MA",
            "license": "51193",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "51193",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "51193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001253",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Isaac, MD
• Hikaru Isihara, M.D., PH.D.
• It'S Good to Be Home Inc.
• Elyse Marie Iveagh
• Jack and Jill Pediatric Dentistry, LLC
• Avril Joan Jackson-Black, NP
• Christa Jacob
• Christopher Joseph Jaehnig
• Janet C Limke MD LLC
• Ellyson Grace Jaques

• Anesthesiology Physician in Braintree, MA
• Providers in Braintree, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.