Individual provider Active NPI

Amna Jafry, MD

  • Emergency Medicine Physician
  • Des Moines, IA
National Provider Identifier
1730175647
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10614300 Issued in NJ
Practice address
1200 Pleasant St
Blank Childrens Hospital
Des Moines, IA 50309-1406
Phone
(515) 241-5926
Fax
(515) 241-5127
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35405 IA
Pediatrics Physician 208000000X 25MA10614300 NJ
Emergency Medicine Physician 207P00000X 25MA10614300 NJ Primary

Addresses

Primary practice location

1200 Pleasant St
Blank Childrens Hospital
Des Moines, IA 50309-1406

Mailing address

11175 Campus St
Loma Linda, CA 92350-1406
Phone (248) 396-9384

Other identifiers 2

IdentifierTypeStateIssuer
0425462MedicaidIA
0753670MedicaidNJ

Other names 1

  • Amna Jaffrey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NJ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070523000296 OH Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0446357636 Reassigns benefits to 1 organization
I20201016000290 NJ Practitioner - Pediatric Medicine 0446357636 Reassigns benefits to 3 organizations
I20210824002742 CA Practitioner - Pediatric Medicine 0446357636 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35405IAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. Pediatric Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Feb 8, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm Pediatrics CurrentSince Oct 1, 2021 Accepting new patients
Lucas County Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

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

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

11441 Heacock St
Ste C
Moreno Valley, CA 92557
Phone (951) 247-5809

65 James St
Edison, NJ 08820
Phone (732) 321-7010

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Interoperability endpoints

  • Direct secure messaging: ajafry420042@direct.llu.edu

Organizations & group practices 10

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1730175647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CAMPUS ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501406",
            "telephone_number": "248-396-9384",
            "fax_number": "515-241-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "address_2": "BLANK CHILDRENS HOSPITAL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRY",
        "first_name": "AMNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IA",
            "license": "35405",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10614300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10614300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425462",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753670",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMNA",
            "last_name": "JAFFREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.