Active NPI
Antoine Jakiche, M.D.
- Gastroenterology Physician
- Albuquerque, NM
National Provider Identifier
1609875996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2002-0052
- Practice address
- 7788 Jefferson St NE
Albuquerque, NM 87109-4342 - Phone
- (505) 999-1600
- Fax
- (505) 999-1651
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2002-0052 | NM | Primary |
Addresses
Primary practice location
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Mailing address
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone (505) 999-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Gastroenterology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7788 Jefferson St NE
Albuquerque, NM 87109-4342
Phone (505) 999-1600
Hospital & facility affiliations
- Lovelace Medical Center
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.34 of 100
- Quality
- 77.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.54
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 91 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Gastroenterology Associates | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| Southwest Endoscopy LTD | Past | Accepting new patients |
Locations
7788 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 999-1600
Interoperability endpoints
- https://api.platform.athenahealth.com/12517/brand/1/csg/1/fhir/r4
- antoine.jakiche.1@12517.direct.athenahealth.com
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.
-
- Specialist
- Albuquerque, NM
- NPI 1902931728
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1871538694
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1609875996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7788 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094342",
"telephone_number": "505-999-1600",
"fax_number": "505-999-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7788 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094342",
"telephone_number": "505-999-1600",
"fax_number": "505-999-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKICHE",
"first_name": "ANTOINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "2002-0052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.