Active NPI
Michael Jonathan Jaffe, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 344455-1205
- Practice address
- 389 S 900 E
Salt Lake City, UT 84102-2310 - Phone
- (385) 282-2000
- Fax
- (385) 282-2001
- NPI assigned
- Jul 4, 2006
- Last updated
- Dec 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 344455-1205 | UT | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 344455-1205 | UT | Primary |
Addresses
Primary practice location
389 S 900 E
Salt Lake City, UT 84102-2310
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (385) 282-2000
Other names 1
- Michael J. Jaffe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Massachusetts Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5801 S Fashion Blvd
Suite 180
Murray, UT 84107-8135
Phone (801) 262-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344455-1205 | UT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine and Pain PLLC | Current | Accepting new patients | |
| Interventional Spine & Pain Management | Current | Accepting new patients | |
| Interventional Spine & Pain Management | Current | Accepting new patients | |
| The Smart Clinic | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
96 E Kimballs Ln
Ste 408
Draper, UT 84020
Phone (801) 572-1186
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100
24 S 1100 E
Ste 310
Slc, UT 84102
Phone (801) 328-1260
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDBECA
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.
-
- Pain Medicine (Anesthesiology) Physician
- Murray, UT
- NPI 1609204338
-
- Pain Medicine (Anesthesiology) Physician
- Draper, UT
- NPI 1437627080
-
- Pain Medicine Physician
- Ogden, UT
- NPI 1992342414
-
- Physical Medicine & Rehabilitation Physician
- Park City, UT
- NPI 1477269199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1730119801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "385-282-2000",
"fax_number": "385-282-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022310",
"telephone_number": "385-282-2000",
"fax_number": "385-282-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "MICHAEL",
"middle_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "344455-1205",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "UT",
"license": "344455-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "JAFFE",
"middle_name": "J.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.