Individual provider Active NPI

Mark R Jaffe, MD

  • Specialist
  • Richardson, TX
National Provider Identifier
1841271160
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J8283 Issued in TX
Practice address
3610 Shire Blvd
Suite 208
Richardson, TX 75082
Phone
(214) 983-2020
Fax
(972) 769-5740
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J8283 TX Primary

Addresses

Primary practice location

3610 Shire Blvd
Suite 208
Richardson, TX 75082

Mailing address

3610 Shire Blvd
Suite 208
Richardson, TX 75082
Phone (214) 983-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031222000174 TX Practitioner - Ophthalmology 4880507813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweeney Eye Associates, PLLCGroup PAC ID 3779567714, 10 clinicians

Practice addresses (Care Compare)

2858 N Belt Line Rd
Suite 200
Sunnyvale, TX 75182-9382
Phone (972) 285-8966

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sweeney Eye Associates, PLLC Specialist CurrentSince Mar 1, 2023 Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients

Locations

3610 Shire Blvd
Ste 208
Richardson, TX 75082
Phone (214) 983-2020

2858 N Belt Line Rd
Ste 200
Sunnyvale, TX 75182
Phone (972) 285-8966

Interoperability endpoints

  • Direct secure messaging: mark.jaffe.2@13131.direct.athenahealth.com
  • Direct secure messaging: mjaffe@sweeneyeye.intellechartdirect.net
  • Direct secure messaging: mark.jaffe.1@13131.direct.athenahealth.com

Organizations & group practices 3

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1841271160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD",
            "address_2": "SUITE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "214-983-2020",
            "fax_number": "972-769-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SHIRE BLVD",
            "address_2": "SUITE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "214-983-2020",
            "fax_number": "972-769-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J8283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.