Individual provider Active NPI

Jordan Nathaniel Hess, PA

  • Physician Assistant
  • Watertown, NY
National Provider Identifier
1760004527
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024900 Issued in NY
Practice address
1815 State St
Watertown, NY 13601-9407
Phone
(315) 788-6070
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024900 NY Primary

Addresses

Primary practice location

1815 State St
Watertown, NY 13601-9407

Mailing address

1815 State St
Watertown, NY 13601-9407
Phone (315) 681-7627

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617003161 NY Practitioner - Physician Assistant 1456773514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univ of Nebraska Medical Center, Col of Dentistry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M B Kayani Physician PCGroup PAC ID 7012932833, 5 clinicians

Practice addresses (Care Compare)

1815 State St
Watertown, NY 13601-9407

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
92.83
Improvement activities
40
Cost
45.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024900NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
M B Kayani Physician PC CurrentSince May 26, 2020 Accepting new patients
M B Kayani Physician PC CurrentSince May 26, 2020 Accepting new patients

Locations

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1815 State St
Watertown, NY 13601
Phone (315) 786-8064

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1760004527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019407",
            "telephone_number": "315-681-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019407",
            "telephone_number": "315-788-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "JORDAN",
        "middle_name": "NATHANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.