NPIMap

Individual provider Active NPI

Kenneth Aaron Jaffe, M.D.

  • Orthopaedic Surgery Physician
  • Hoover, AL
National Provider Identifier
1720005812
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
00011096 Issued in AL
Practice address
2010 Patton Chapel Rd
Suite 100
Hoover, AL 35216-5782
Phone
(205) 783-5511
Fax
(205) 978-7776
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00011096 AL Primary

Addresses

Primary practice location

2010 Patton Chapel Rd
Suite 100
Hoover, AL 35216-5782

Mailing address

2010 Patton Chapel Rd
Suite 100
Hoover, AL 35216-5782
Phone (205) 783-5511

Other identifiers 3

IdentifierTypeStateIssuer
51107059OtherBCBS
9910112MedicaidAL
51005575OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001092 AL Practitioner - Orthopedic SurgeryPractitioner - Medical Oncology 2466425905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Medical Oncology
Education
University of Alabama School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosports Associates LLC 36 clinicians

Practice addresses (Care Compare)

2010 Patton Chapel Rd
Suite 100
Hoover, AL 35216-5782
Phone (205) 989-0065

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as group
Improvement activities
40
Cost
69.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11096ALMDPharmacist
00011096ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports Associates LLC Orthopaedic Surgery Current Accepting new patients
Orthosports Associates, LLC Orthopaedic Surgery CurrentSince Mar 7, 2017 Accepting new patients
Orthosports Associates LLC Orthopaedic Surgery CurrentSince Mar 7, 2017 Accepting new patients
Alabama Sports Medicine and Ortho Center Orthopaedic Surgery Past Accepting new patients
Lemak Sports Medicine, LLC Past Accepting new patients
Lemak Health, LLC Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
Alabama Spine & Joint Center, P.C. Orthopaedic Surgery Past Accepting new patients

Locations

48 Medical Park Dr E
Ste 255
Birmingham, AL 35235

833 Saint Vincents Dr
Ste 403
Birmingham, AL 35205
Phone (205) 939-0047

3525 Independence Dr
Homewood, AL 35209
Phone (205) 802-6700

2010 Patton Chapel Rd
Ste 100
Hoover, AL 35216
Phone (205) 783-5511

Interoperability endpoints

  • Direct secure messaging: kjaffe@aoc.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1720005812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165782",
            "telephone_number": "205-783-5511",
            "fax_number": "205-978-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165782",
            "telephone_number": "205-783-5511",
            "fax_number": "205-978-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "KENNETH",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00011096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51107059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9910112",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51005575",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.