Active NPI
Jeffrey Edward Siegal, M.D.
- Ophthalmology Physician
- Delray Beach, FL
National Provider Identifier
1821031212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME53104
- Practice address
- 15340 Jog Rd
Suite 210
Delray Beach, FL 33446-2170 - Phone
- (561) 495-8558
- Fax
- (561) 495-8557
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME53104 | FL | Primary |
Addresses
Primary practice location
15340 Jog Rd
Suite 210
Delray Beach, FL 33446-2170
Mailing address
15340 Jog Rd
Suite 210
Delray Beach, FL 33446-2170
Phone (561) 495-8558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4761580001 | Other | FL | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20080513000128 | FL | Practitioner - Ophthalmology | 1951470251 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esterman Eye Institute, Inc. | Ophthalmology | Current | Accepting new patients |
Locations
15340 S Jog Rd
Ste 210
Delray Beach, FL 33446
Phone (561) 279-7799
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Delray Beach, FL
- NPI 1306108816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1821031212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15340 JOG RD",
"address_2": "SUITE 210",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334462170",
"telephone_number": "561-495-8558",
"fax_number": "561-495-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15340 JOG RD",
"address_2": "SUITE 210",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334462170",
"telephone_number": "561-495-8558",
"fax_number": "561-495-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGAL",
"first_name": "JEFFREY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME53104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4761580001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.