Active NPI
Jade Mas Koba, M.D.
- Obstetrics & Gynecology Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME171297
- Practice address
- 650 Del Prado Blvd S Ste 100
Cape Coral, FL 33990-5617 - Phone
- (239) 424-2060
- Fax
- (239) 424-2061
- NPI assigned
- May 4, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A162053 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | ME171297 | FL | Primary |
Addresses
Primary practice location
650 Del Prado Blvd S Ste 100
Cape Coral, FL 33990-5617
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-2060
Other practice location 1
30 Shelburne Road
Stamford, CT 06902
Phone (203) 276-7581
Other practice location 2
30 Shelburne Road
Stamford, CT 06902
Phone (203) 276-7581
Other practice location 3
220 S Palisade Dr Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101
Other practice location 4
210 S Palisade Dr Ste 101
Santa Maria, CA 93454-5932
Phone (805) 922-0481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125173600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmaskoba470946@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Obstetrics/Gynecology
- Education
- Florida International Univ, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Del Prado Blvd S
Suite 100
Cape Coral, FL 33990-5617
Phone (239) 424-2060
Hospital & facility affiliations
- Cape Coral Hospital
- Lee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A162053 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
650 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 424-2060
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jmaskoba470946@direct.leememorial.org
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
Obstetrics & Gynecology
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1457738064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-2060",
"fax_number": "239-424-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 DEL PRADO BLVD S STE 100",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339905617",
"telephone_number": "239-424-2060",
"fax_number": "239-424-2061"
}
],
"practiceLocations": [
{
"address_1": "30 Shelburne Road",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "06902",
"country_code": "US",
"telephone_number": "203-276-7581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Shelburne Road",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "06902",
"country_code": "US",
"telephone_number": "203-276-7581",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 S Palisade Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "93454",
"country_code": "US",
"telephone_number": "805-354-7101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 S Palisade Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545932",
"country_code": "US",
"telephone_number": "805-922-0481",
"fax_number": "805-925-5261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAS KOBA",
"first_name": "JADE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A162053",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME171297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125173600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmaskoba470946@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.