Active NPI
Jordan Michael Virbalas
- Otolaryngology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- AB1876296
- Practice address
- 3400 Bainbridge Ave
Dept of Otolaryngology, 3Rd Floor
Bronx, NY 10467-2404 - Phone
- (617) 501-0198
- NPI assigned
- Apr 27, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | AB1876296 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave
Dept of Otolaryngology, 3Rd Floor
Bronx, NY 10467-2404
Mailing address
536 Bergen St
Apt 3R
Brooklyn, NY 11217-4001
Phone (617) 501-0198
Other names 1
- Jordan Michael Virball
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AB1876296 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Otolaryngology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Otolaryngology | Current | Accepting new patients |
| University of California San Francisco | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
3333 California St
Ste S110
San Francisco, CA 94118
2380 Sutter St
San Francisco, CA 94115
Phone (415) 353-2757
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Interoperability endpoints
- jvirbalas80983@direct-ucsfmedicalcenter.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Otolaryngology
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Otolaryngology Physician
- San Francisco, CA
- NPI 1154396208
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1700103041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 BERGEN ST",
"address_2": "APT 3R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174001",
"telephone_number": "617-501-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"address_2": "DEPT OF OTOLARYNGOLOGY, 3RD FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "617-501-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRBALAS",
"first_name": "JORDAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-27",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "AB1876296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "VIRBALL",
"middle_name": "MICHAEL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.