Individual provider Active NPI

Jessica Mackey Babcock, M.D.

  • Trauma Surgery Physician
  • Miami, FL
National Provider Identifier
1700187440
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME144928 Issued in FL
Practice address
11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Phone
(305) 559-1883
Fax
(305) 559-1887
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A147889 CA
Trauma Surgery Physician 2086S0127X ME144928 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 722
Miami, FL 33175-8101

Mailing address

11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Phone (305) 559-1883

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-1293

Other practice location 2

11370 Anderson St Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170920003027 CA Practitioner - General Surgery 7618241217 Reassigns benefits to 1 organization
I20210913002923 CO Practitioner - General Surgery 7618241217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 473-7120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.48 of 100Reported as group
Quality
58.76
Promoting interoperability
0
Improvement activities
30
Cost
77.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147889CAMDSurgery Physician
ME144928FLMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Surgery CurrentSince Sep 1, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Chris B Winter MD PC Surgery CurrentSince Sep 15, 2021 Accepting new patients
Colorado Surgical and Critical Care Associates PLLC Surgery CurrentSince Nov 11, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Chris B Winter MD PC Surgery Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Oct 15, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

2352 Meadows Blvd
Ste 250
Castle Rock, CO 80109
Phone (303) 214-4500

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

9399 Crown Crest Blvd
Ste 220
Parker, CO 80138
Phone (303) 805-1855

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

Organizations & group practices 8

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1700187440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11370 Anderson St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "92354",
            "country_code": "US",
            "telephone_number": "909-558-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "JESSICA",
        "middle_name": "MACKEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A147889",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME144928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.