NPIMap

Individual provider Active NPI

Jakub Tatka, M.D.

  • Orthopaedic Surgery Physician
  • White Plains, NY
National Provider Identifier
1922361856
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
274416 Issued in NY
Practice address
122 Maple Ave FL 8
White Plains, NY 10601-4706
Phone
(914) 787-3297
Fax
(914) 787-2246
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 274416 NY Primary

Addresses

Primary practice location

122 Maple Ave FL 8
White Plains, NY 10601-4706

Mailing address

1 Pondfield Rd Ste 1
Bronxville, NY 10708-3706
Phone (914) 787-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808002693 NY Practitioner - Orthopedic Surgery 1951659887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement72
Knee replacement16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Jul 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Orthopaedic Surgery CurrentSince Jul 1, 2018 Accepting new patients
White Plains Physician Services PC CurrentSince Dec 14, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Orthopaedic Surgery CurrentSince Jul 1, 2018 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

1 Pondfield Rd
Ste 1
Bronxville, NY 10708
Phone (212) 305-5976

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

630 W 168th St
Ph 10105
New York, NY 10032
Phone (646) 317-7111

622 W 168th St
Ph 111138
New York, NY 10032
Phone (435) 770-7098

750 White Plains Rd
Scarsdale, NY 10583
Phone (914) 597-3880

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

122 Maple Ave
Fl 8
White Plains, NY 10601
Phone (914) 849-5300

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1922361856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD RD STE 1",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083706",
            "telephone_number": "914-787-5175",
            "fax_number": "914-787-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLE AVE FL 8",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014706",
            "telephone_number": "914-787-3297",
            "fax_number": "914-787-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATKA",
        "first_name": "JAKUB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "274416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.