Individual provider Active NPI

Michael S. Jaffe, DO

  • Physical Medicine & Rehabilitation Physician
  • Kailua, HI
National Provider Identifier
1396893251
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DOS1796 Issued in HI
Practice address
40 Aulike St Ste 317
Kailua, HI 96734-2757
Phone
(808) 744-6638
Fax
(808) 744-7502
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A6517 CA
Physical Medicine & Rehabilitation Physician 208100000X DOS1796 HI Primary

Addresses

Primary practice location

40 Aulike St Ste 317
Kailua, HI 96734-2757

Mailing address

40 Aulike St Ste 317
Kailua, HI 96734-2757
Phone (808) 744-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20170921002102 HI Practitioner - Physical Medicine and Rehabilitation 4385776350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Brain and Spine IncGroup PAC ID 6204108640, 3 clinicians

Practice addresses (Care Compare)

40 Aulike St
Suite 317
Kailua, HI 96734-2757
Phone (808) 722-8730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6517CAMDPhysical Medicine & Rehabilitation Physician
DOS1796HIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Brain and Spine Inc CurrentSince Nov 15, 2017 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jun 23, 2021 Accepting new patients
Hawaii Pain and Spine LLC CurrentSince Jul 7, 2018 Accepting new patients

Locations

91-2139 Fort Weaver Rd
Ste 203
Ewa Beach, HI 96706
Phone (808) 691-7546

40 Aulike St
Ste 317
Kailua, HI 96734
Phone (808) 722-8730

75-184 Hualalai Rd
Ste 301
Kailua Kona, HI 96740

45-545 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 247-2220

3176 Poipu Rd
Koloa, HI 96756
Phone (808) 378-4439

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16353/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.jaffe.1@16353.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1396893251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 317",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757",
            "telephone_number": "808-744-6638",
            "fax_number": "808-744-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 317",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757",
            "telephone_number": "808-744-6638",
            "fax_number": "808-744-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A6517",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "DOS1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.