JORDAN M LAUB MD
NPI 1417973603
Emergency Medicine in Gresham, OR
About Jordan M Laub Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN M LAUB MD (NPI 1417973603) is an individual emergency medicine provider in Gresham, Oregon, licensed in Oregon (MD15834) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan M Laub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Laub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97204
- Reassigned Medicare billing, Oregon and Washington enrollments
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Laub's NPI number?
The NPI number for Jordan Laub is 1417973603. It was assigned to this individual provider in the NPPES registry on July 14, 2006.
Where is Jordan Laub located?
Jordan Laub practices at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 464-9034.
What is Jordan Laub's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jordan Laub enrolled in Medicare?
Yes. Jordan Laub is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Laub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Laub reassigns Medicare benefits to Northwest Acute Care Specialists PC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Laub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Laub was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jordan M Laub, MD · NPI 1417973603
Emergency Medicine physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1417973603 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD15834 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 24800 SE STARK ST, Gresham, OR 97030-3378
- **Phone:** (503) 464-9034
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Acute Care Specialists PC (NPI 1215983200, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN E53249; Medicare ID-Type Unspecified 100518 (OR); Medicaid 057286 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1417973603) · Data from the CMS NPPES public registry.