Jayne Koellhoffer, MD, PHD
Individual provider Active NPI Internal Medicine Physician · Doylestown, PA
NPI 1508220765 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1508220765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD471539 (PA)
- Practice address
- 310 Farm LN
Doylestown, PA 18901-4732 - Phone
- (215) 348-3990
- Fax
- (215) 348-7705
- NPI assigned
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Via Affiliates
Practice addresses (Care Compare)
310 Farm LN
Doylestown, PA 18901-4732
Phone (215) 348-1990
Hospital & facility affiliations
- Doylestown Hospital Visiting Nurse/HCD
- Bayada Home Health Care, Inc.
- Doylestown Hospital
- Pine Run Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030003338 | NY | Practitioner - Internal Medicine | 9739425711 | Reassigns benefits to 1 organization |
| I20200731001316 | PA | Practitioner - Internal Medicine |
9739425711 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Via Affiliates | Current |
Accepting new patients | |
| Via Affiliates | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Via Affiliates | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current |
Accepting new patients |
| Via Affiliates | Internal Medicine | Past | Accepting new patients |
Locations
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
310 Farm Ln
Doylestown, PA 18901
Phone (215) 348-3990
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
Interoperability endpoints
- jayne.koellhoffer@dhcp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 295391 | NY | |
| Internal Medicine Physician | 207R00000X | MD471539 | PA | Yes |
Addresses
Primary practice location
310 Farm LN
Doylestown, PA 18901-4732
Mailing address
PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296
Other practice location 1
One Gustave L. Levy Place
New York, NY 10029-6574
Phone (212) 241-6609
Other practice location 2
17 E 102nd St
New York, NY 10029-5204
Phone (212) 659-8551
Other providers in Doylestown, PA
- Cheryl Dubbell Knight
- Lindsay V Knight
- Christine Knochenhauer
- Daniel Morgan Koch
- Paul Michael Koehler
- Jennifer Anne Koester
- Richard A Kondan
- Michele J Kopach
- Magdalena Kornacka I
- Kasey Marie Kotz
All providers in Doylestown, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.