Individual provider Active NPI

Jordan Kassoff, MD

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1407849292
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
174732 Issued in NY
Practice address
63 Shaker Rd
Sutie 101
Albany, NY 12204-1030
Phone
(518) 434-1042
Fax
(518) 434-4327
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 174732 NY Primary

Addresses

Primary practice location

63 Shaker Rd
Sutie 101
Albany, NY 12204-1030

Mailing address

63 Shaker Rd
Sutie 101
Albany, NY 12204-1030
Phone (518) 434-1042

Other identifiers 1

IdentifierTypeStateIssuer
01413056MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101130000137 NY Practitioner - Ophthalmology 6305882341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Eye Associates Physicians and Surgeons PCGroup PAC ID 4688610629, 9 clinicians

Practice addresses (Care Compare)

63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone 5184341042108

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Eye Associates Physicians & Surgeons PC Ophthalmology CurrentSince May 1, 1992 Accepting new patients

Locations

63 Shaker Rd
Ste 101
Albany, NY 12204
Phone (518) 434-1042

Interoperability endpoints

  • Direct secure messaging: jkassoff834592@direct.trinity-health.org
  • Direct secure messaging: drkassoff@albanyeyeassociates.medentdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1407849292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "address_2": "SUTIE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-1042",
            "fax_number": "518-434-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "address_2": "SUTIE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-1042",
            "fax_number": "518-434-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOFF",
        "first_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "174732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01413056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.