Individual provider Active NPI

Jason Solomon Hawksworth, MD

  • Transplant Surgery Physician
  • New York, NY
National Provider Identifier
1376745471
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
323394 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 305-0914
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101239900 VA
Transplant Surgery Physician 204F00000X 323394 NY Primary
Transplant Surgery Physician 204F00000X MD040834 DC

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

9514 Kentstone Dr
Bethesda, MD 20817-2564
Phone (240) 381-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140512001584 DC Practitioner - General SurgeryPractitioner - Pediatric Medicine 6709019045 Reassigns benefits to 2 organizations
I20230711003002 NY Practitioner - General Surgery 6709019045 Reassigns benefits to 1 organization
I20240416002489 NJ Practitioner - General Surgery 6709019045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 Grand Ave
Suite 1
Englewood, NJ 07631-4968
Phone (212) 342-8586

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239900VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 9, 2014 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Mar 15, 2024 Accepting new patients
Children'S Hospital CurrentSince Jul 28, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 8, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Surgery CurrentSince Jun 8, 2023 Accepting new patients
Children'S Hospital CurrentSince Jul 28, 2014 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Mar 15, 2024 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Trustees of Columbia University in the City of New York Transplant Surgery Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

300 Frank W Burr Blvd
Ste 130
Teaneck, NJ 07666
Phone (212) 305-6936

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
Ph 14C
New York, NY 10032
Phone (212) 305-4146

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: aye9008@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 5

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376745471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 KENTSTONE DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172564",
            "telephone_number": "240-381-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKSWORTH",
        "first_name": "JASON",
        "middle_name": "SOLOMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101239900",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "323394",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "DC",
            "license": "MD040834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.