Active NPI
Michael S. Jaffe, DO
- Physical Medicine & Rehabilitation Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DOS1796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6517 | CA | MD | Physical Medicine & Rehabilitation Physician |
| DOS1796 | HI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Brain and Spine Inc | Current | Accepting new patients | |
| National Health Rehabilitation LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Hawaii Pain and Spine LLC | Current | 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
- https://api.platform.athenahealth.com/16353/brand/1/csg/1/fhir/r4
- 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.
-
- Neurological Surgery Physician
- Kailua, HI
- NPI 1174046346
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
HI
-
- Interventional Pain Medicine Physician
- Kailua, HI
- NPI 1619467347
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- Rehabilitation Hospital
- Honolulu, HI
- NPI 1598785388
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.