Active NPI
Jacob Michael Jones, M.D.
- Retina Specialist (Ophthalmology) Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 52800
- Practice address
- 710 E. 24TH St
Suite 304
Minneapolis, MN 55404-3846 - Phone
- (612) 871-2292
- Fax
- (952) 460-5274
- NPI assigned
- Jan 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 52800 | MN | Primary |
Addresses
Primary practice location
710 E. 24TH St
Suite 304
Minneapolis, MN 55404-3846
Mailing address
3601 W 76TH St
Ste 300
Edina, MN 55435-3004
Phone (952) 929-1131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjones@retinadocs.intellechartdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810001047 | MN | Practitioner - Ophthalmology | 9537231584 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52800 | MN | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Vitreoretinal Surgery PLLC | Retina Specialist | Current | Accepting new patients |
| Hennepin Healthcare System, Inc | Current | Accepting new patients |
Locations
2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450
3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175
Interoperability endpoints
- jjones@vrssurgery.intellechartdirect.net
Organizations & group practices 7
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.
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- Psychiatric Hospital Unit
- Minneapolis, MN
- NPI 1356369524
-
- Community/Retail Pharmacy
- Minneapolis, MN
- NPI 1265657746
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Home Health Agency
- Minneapolis, MN
- NPI 1770957219
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Johns Hopkins University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitreoretinal Surgery PLLCHennepin Healthcare System Inc
Practice addresses (Care Compare)
3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1780720201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 76TH ST",
"address_2": "STE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554353004",
"telephone_number": "952-929-1131",
"fax_number": "952-929-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 E. 24TH ST",
"address_2": "SUITE 304",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043846",
"telephone_number": "612-871-2292",
"fax_number": "952-460-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MN",
"license": "52800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjones@retinadocs.intellechartdirect.net",
"affiliation": "N",
"endpointDescription": "Secure email to EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "for CCD/CCDA",
"address_1": "710 E. 24th St",
"address_2": "Suite 304",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554043846",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.