Individual provider Active NPI

Jeffrey Jahan Vakil, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1477728533
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD433590 Issued in PA
Practice address
8815 Germantown Ave
Philadelphia, PA 19118-2722
Phone
(484) 768-9101
Fax
(484) 273-0198
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD433590 PA Primary

Addresses

Primary practice location

8815 Germantown Ave
Philadelphia, PA 19118-2722

Mailing address

PO Box 81
Bryn Mawr, PA 19010-0081
Phone (610) 359-5664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090817000212 PA Practitioner - Orthopedic Surgery 5193899466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

200 E State St
Suite 108
Media, PA 19063-3434
Phone (610) 876-0347

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

525 W Chester Pike
Suite 101a
Havertown, PA 19083-4539
Phone (610) 449-2000

8815 Germantown Ave
Suite 14
Philadelphia, PA 19118-2722
Phone (484) 768-9101

915 Old Fern Hill Rd
Suite 1
West Chester, PA 19380-4269
Phone (610) 692-6280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement43
Knee replacement44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433590PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince May 1, 2020 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients
The Good Samaritan Hospital of Maryland Inc Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

8815 Germantown Ave
Ste 14
Philadelphia, PA 19118
Phone (215) 248-2600

Interoperability endpoints

  • Direct secure messaging: jeffrey.vakil.1@22724.direct.athenahealth.com
  • Direct secure messaging: jeffreyvakil@po.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1477728533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190100081",
            "telephone_number": "610-359-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "484-768-9101",
            "fax_number": "484-273-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "JEFFREY",
        "middle_name": "JAHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD433590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.