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JORDAN HOWARD GREEN MD
NPI 1063904829
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Placerville, CA

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
1100 MARSHALL WAY, PLACERVILLE, CA 95667(530) 622-1441 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Aug 20, 2024 (2 updates tracked since 2024).

About Jordan Howard Green Md NPPES

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

JORDAN HOWARD GREEN MD (NPI 1063904829) is an individual orthopaedic surgery of the spine provider in Placerville, California, licensed in California (A195801) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2018).

NPPES Registry Identity

NPI1063904829
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJORDAN HOWARD GREENCredential: MD
Location Address1100 MARSHALL WAYPlacerville, CA 95667-6599
Mailing Address1100 Marshall WayPlacerville, CA 95667-6599 · (530) 622-1441
Phone(530) 622-1441
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1063904829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in CA · A195801
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A195801 (CA)
1100 MARSHALL WAY, Placerville, CA 95667
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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

Jordan Howard Green 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 ID5193071314
PECOS Enrollment IDI20240826003624
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients

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.

MOHAMMED FAZIL SIDDIQI MD
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
MICHAEL M WARD MD
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
DR. ALLISON RUTH HARVEY MD
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
PRITPAL S RANDHAWA MD
Hospitalist
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 626-2787
ALEXANDER CHENG-KANG GUO M.D.
Radiology (Diagnostic Radiology)
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 626-1166
DR. RUBEAL SINGH MANN M.D.
Emergency Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441
KETAN P AJUDIA M.D.
Internal Medicine
1100 MARSHALL WAY
PLACERVILLE, CA 95667
El Dorado County (530) 344-5432
ROBERT L HOUTS MD
Radiology (Diagnostic Radiology)
1100 MARSHALL WAY, MARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
El Dorado County (530) 622-1441

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 Jordan Howard Green's NPI number?

The NPI number for Jordan Howard Green is 1063904829. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Jordan Howard Green located?

Jordan Howard Green practices at 1100 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 622-1441.

What is Jordan Howard Green's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Jordan Howard Green enrolled in Medicare?

Yes. Jordan Howard Green 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.

When was this NPI record last updated?

The NPPES record for Jordan Howard Green was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.