Haifa Jaedi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD175507 Issued in OR

Practice address

700 SW Ramsey Ave
Suite 204
Grants Pass, OR 97527-5786

Phone

(541) 955-5683

Fax

(541) 955-0983

NPI assigned

May 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Pediatric Medicine

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haifajaedi@sipeclnc.allscriptsdirect.net

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.

• Providence Health & Services - Oregon

  • Clinic/Center
  • Medford, OR
  • NPI 1093976243
  Medicare reassignment
• Providence Health & Services Oregon

  • Family Medicine Physician
  • Medford, OR
  • NPI 1568547503
  Medicare reassignment
• Siskiyou Pediatric Clinic, LLP

  • Pediatrics Physician
  • Grants Pass, OR
  • NPI 1700999521
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1962812594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAMSEY AVENUE",
            "address_2": "STE. 204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "541-955-5683",
            "fax_number": "541-955-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW RAMSEY AVE",
            "address_2": "SUITE 204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275786",
            "telephone_number": "541-955-5683",
            "fax_number": "541-955-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Royal Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046461",
            "country_code": "US",
            "telephone_number": "541-732-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAEDI",
        "first_name": "HAIFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD175507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500712681",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres Alberto Jacobo
• Kelsey Jacobo
• Elena Jacobs
• Trina Jacobs, R.N.
• Jacquelyn Hutchings FNP, LLC
• James Lee Calvert M.D.
• Kira May James, QMHA
• Michelle Lee James
• Jessica Janes
• Carey Janzik, PA-C

• Pediatrics Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.