NPIMap

Individual provider Active NPI

James Jaffe, MD

  • Neuroradiology Physician
  • Silver Spring, MD
National Provider Identifier
1497720247
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME93477 Issued in FL
Practice address
2121 Medical Park Dr
Suite 1
Silver Spring, MD 20902-4054
Phone
(301) 681-3003
Fax
(301) 681-0889
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME93477 FL
Therapeutic Radiology Physician 2085R0203X ME93477 FL
Vascular & Interventional Radiology Physician 2085R0204X ME93477 FL
Neuroradiology Physician 2085N0700X ME93477 FL Primary

Addresses

Primary practice location

2121 Medical Park Dr
Suite 1
Silver Spring, MD 20902-4054

Mailing address

2121 Medical Park Dr
Suite 1
Silver Spring, MD 20902-4054
Phone (301) 681-3003

Other identifiers 1

IdentifierTypeStateIssuer
272874500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608000649 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4880673961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians

Practice addresses (Care Compare)

3900 Geer Rd
Turlock, CA 95382-1147
Phone (209) 669-0600

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93477FLMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modesto Radiological Medical Group, Inc. Neuroradiology CurrentSince Jul 1, 2017 Accepting new patients
Turlock Imaging Services, LLC CurrentSince Feb 7, 2018 Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology Past Accepting new patients
Clinical Imaging of Silver Spring LLC Diagnostic Radiology Past Accepting new patients
Univ of Penn Community Radiology Neuroradiology Past Accepting new patients
West Boynton Beach Open Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Palm Beach Radiology Professionals, PA Diagnostic Radiology Past Accepting new patients

Locations

3900 Geer Rd
Turlock, CA 95382
Phone (209) 669-0600

3900 Geer Rd
#1112
Turlock, CA 95382
Phone (209) 669-0600

Organizations & group practices 10

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1497720247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MEDICAL PARK DR",
            "address_2": "SUITE 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024054",
            "telephone_number": "301-681-3003",
            "fax_number": "301-681-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MEDICAL PARK DR",
            "address_2": "SUITE 1",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024054",
            "telephone_number": "301-681-3003",
            "fax_number": "301-681-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME93477",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "FL",
            "license": "ME93477",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME93477",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME93477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272874500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.