Individual provider Active NPI

Jeffrey Edward Siegal, M.D.

  • Ophthalmology Physician
  • Delray Beach, FL
National Provider Identifier
1821031212
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME53104 Issued in FL
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

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4761580001OtherFLDMERC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000128 FL Practitioner - Ophthalmology 1951470251

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Esterman Eye Institute, Inc. Ophthalmology CurrentSince Nov 7, 2023 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.

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

Verify at the official NPI Registry.