Active NPI
Todd Barrett Jaffe, MD
- Pain Medicine (Anesthesiology) Physician
- Lakeside, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 71525
- Practice address
- 4830 State Route 260
103
Lakeside, AZ 85929 - Phone
- (928) 368-7346
- Fax
- (926) 495-5514
- NPI assigned
- Jan 31, 2006
- Last updated
- Oct 17, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 71525 | AZ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 71525 | AZ | Primary |
Addresses
Primary practice location
4830 State Route 260
103
Lakeside, AZ 85929
Mailing address
1925 Passage Dr
Show Low, AZ 85901-6905
Phone (928) 368-7346
Other practice location 1
1925 Passage Dr
Show Low, AZ 85901-6905
Phone (928) 368-7346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1978
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2051 Evergreen LN
Suite C
Show Low, AZ 85901-7928
Phone (928) 368-7346
823 N San Francisco St
Flagstaff, AZ 86001-3265
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.66
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71525 | AZ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Pain & Treatment Center | Pain Medicine | Current | Accepting new patients |
| Guam X-Ray | Current | Accepting new patients | |
| Jaffe Ethical Addiction and Pain Care LLC | Pain Medicine | Current | Accepting new patients |
| Arcand Family Practice LLC | Past | Accepting new patients |
Locations
823 N San Francisco St
Ste A
Flagstaff, AZ 86001
Phone (480) 213-8488
4672 Maverick Ln
Ste 1
Lakeside, AZ 85929
3401 S White Mountain Rd
Ste A
Show Low, AZ 85901
Phone (520) 244-0089
610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Virtuous Pain Centers
- Pain Medicine (Anesthesiology) Physician
- Flagstaff, AZ
- NPI 1073127858
-
- Pain Medicine (Anesthesiology) Physician
- Show Low, AZ
- NPI 1508748401
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
-
- Primary Care Clinic/Center
- Viera, FL
- NPI 1124293238
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1629049275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 PASSAGE DR",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859016905",
"telephone_number": "928-368-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 STATE ROUTE 260",
"address_2": "103",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "85929",
"telephone_number": "928-368-7346",
"fax_number": "926-495-5514"
}
],
"practiceLocations": [
{
"address_1": "1925 Passage Dr",
"address_purpose": "LOCATION",
"city": "Show Low",
"state": "AZ",
"postal_code": "859016905",
"country_code": "US",
"telephone_number": "928-368-7346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFFE",
"first_name": "TODD",
"middle_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "AZ",
"license": "71525",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "71525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeside, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.