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JORDAN BROEKHUIS MD
NPI 1609396480
Surgery in Boston, MA

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2024, Jun 22, 2017 (2 updates tracked since 2017).

About Jordan Broekhuis Md NPPES

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

JORDAN BROEKHUIS MD (NPI 1609396480) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (271032) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609396480
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJORDAN BROEKHUISCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (617) 724-4133
Phone(617) 726-8290
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateJune 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 9, 2024
✔ NPI 1609396480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 271032
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
55 FRUIT ST, Boston, MA 02114
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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 Nebraska, Oscar Insurance Company, 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

Jordan Broekhuis 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 ID6800162579
PECOS Enrollment IDI20240809001331, I20251022004769
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.

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Broekhuis's NPI number?

The NPI number for Jordan Broekhuis is 1609396480. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Jordan Broekhuis located?

Jordan Broekhuis practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-8290.

What is Jordan Broekhuis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jordan Broekhuis enrolled in Medicare?

Yes. Jordan Broekhuis 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 Jordan Broekhuis accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Jordan Broekhuis 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 Jordan Broekhuis affiliated with any hospitals?

According to CMS data, Jordan Broekhuis is affiliated with Massachusetts General Hospital, The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Jordan Broekhuis was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.