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KENNETH SCOTT JAFFE M.D. NPI 1174507529


NPI Information

NPI: 1174507529
Provider Name: KENNETH SCOTT JAFFE, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

CLIA Number: 10D1011816

Address:
130 JOHN F KENNEDY DR
SUITE 134
ATLANTIS, FL
ZIP 33462
Phone: (561) 439-0308
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Kenneth Scott Jaffe, M.D. is a geriatric medicine internal medicine in Atlantis, FL with 29 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Kenneth Scott Jaffe, M.D. NPI is 1174507529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 JOHN F KENNEDY DR
SUITE 134
ATLANTIS, FL
ZIP 33462-141
Phone: (561) 439-0308
Fax: (561) 328-6776

The NPI 1174507529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D1011816 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineME78885FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12423088OTHERFLORIDAAETNA
2269348OTHERFLORIDAAVMED
32165459OTHERFLORIDAWELLCARE
45269380OTHERFLORIDACCN
50746706OTHERFLORIDACIGNA
61023545OTHERFLORIDAPHCS
7H04908OTHERLOUISIANAVISTA
8K4207MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE
9H04908MEDICARE UPINFLORIDA
10260146000MEDICAIDFLORIDA
1151774OTHERFLORIDABLUE CROSS BLUE SHEILD
12002008791-002OTHERFLORIDAUNITED HEALTH CARE
13162142OTHERFLORIDAUNIVERSAL HEALTHCARE
142509859OTHERFLORIDAGHI
15P-2364360OTHERFLORIDAFIRST HEALTH
16651050544OTHERFLORIDAHEALTH CARE DISTRIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.