Individual provider Active NPI

Jianxin Ma, M.D.

  • Neurology Physician
  • Auburn, NY
National Provider Identifier
1700910643
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
234143 Issued in NY
Practice address
17 E Genesee St
Auburn, NY 13021-4040
Phone
(315) 252-7434
Fax
(315) 253-0841
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 234143 NY Primary

Addresses

Primary practice location

17 E Genesee St
Auburn, NY 13021-4040

Mailing address

4228 Winding Creek Rd
Manlius, NY 13104-8318
Phone (315) 252-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071019000269 NY Practitioner - NeurologyPractitioner - Physical Medicine and Rehabilitation 2264528389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Physical Medicine and Rehabilitation
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

17 E Genesee St
Suite 101
Auburn, NY 13021-4112
Phone (315) 252-7434

17 Lansing St
Auburn, NY 13021-1983

77 Nelson St
Auburn, NY 13021-1941

77 Nelson St
Auburn, NY 13021-1944

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC Neurology CurrentSince Sep 2, 2017 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 2, 2017 Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients
Lisa Nan Freedman MD. PC. Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Ste 301
Auburn, NY 13021
Phone (315) 567-0700

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: yanhua739@hiemail.healtheconnections.org
  • Direct secure messaging: drma@amms.medentdirect.com

Organizations & group practices 6

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 2

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1700910643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 WINDING CREEK RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048318",
            "telephone_number": "315-252-7434",
            "fax_number": "315-253-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214040",
            "telephone_number": "315-252-7434",
            "fax_number": "315-253-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JIANXIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "234143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.