JORDAN REILLY MD
NPI 1174053458
Surgery - Surgical Critical Care in Grand Rapids, MI

Q: What is Jordan Reilly's NPI number?

The NPI number for Jordan Reilly is 1174053458. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Jordan Reilly's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Reilly was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 19, 2017PECOS EnrolledAccepts Medicare Assignment

100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 267-1712(616) 391-8611 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Jun 19, 2017 (2 updates tracked since 2017).

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About Jordan Reilly Md NPPES

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

JORDAN REILLY MD (NPI 1174053458) is an individual surgical critical care provider in Grand Rapids, Michigan, licensed in Michigan (4301509594) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Michigan State University College Of Human Medicine (2017).

NPPES Registry Identity

NPI1174053458

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameJORDAN REILLYCredential: MD

Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560

Mailing Address25859 GlenmoorNovi, MI 48374-2354

Phone(616) 267-1712

Fax(616) 391-8611

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2017

Enumeration DateJune 19, 2017

Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration

NPPES CertifiedJuly 31, 2023

✔ NPI 1174053458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in MI · 4301509594

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jordan Reilly 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 ID1456629054

PECOS Enrollment IDI20240930003805

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services11 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

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.

ERIN LOUISE MUELLER MD

Surgery