KIRK RAYMOND JACKSON JR. MD
NPI 1053603886
Anesthesiology in Philadelphia, PA

Q: What is Kirk Jackson's NPI number?

The NPI number for Kirk Jackson is 1053603886. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Q: What is Kirk Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Jackson was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-6156 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kirk Raymond Jackson Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRK RAYMOND JACKSON JR. MD (NPI 1053603886) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Texas (Q7891) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Baylor College Of Medicine (2011).

NPPES Registry Identity

NPI1053603886

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameKIRK RAYMOND JACKSON JR.Credential: MD

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4206

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4206 · (215) 662-6156

Phone(215) 662-6156

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2011

Enumeration DateMay 12, 2011

Last NPPES UpdateApril 20, 2017

✔ NPI 1053603886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · Q7891

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3400 SPRUCE ST, Philadelphia, PA 19104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kirk Raymond Jackson Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416234067

PECOS Enrollment IDI20170508002257

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

33 services33 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

18 services18 patients

Anesthesia for procedure on heart and large blood vessels 00560

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

MONIQUE LORRAINE ROBERTS SALAHUB

Anesthesiology (Critical Care Medicine)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-4000

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Jackson's NPI number?

The NPI number for Kirk Jackson is 1053603886. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Kirk Jackson located?

Kirk Jackson practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-6156.

What is Kirk Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kirk Jackson enrolled in Medicare?

Yes. Kirk Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirk Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare list Kirk Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kirk Jackson affiliated with any hospitals?

According to CMS data, Kirk Jackson is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Kirk Jackson was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.