JORDAN BROEKHUIS MD
NPI 1609396480
Surgery in Boston, MA
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 The Nebraska Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jordan Broekhuis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Omaha, NE 68198
- Reassigned Medicare billing, Nebraska enrollment
- 2,154 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Nebraska Medical Center
Acute Care Hospitals · Omaha, NEMary Lanning Healthcare
Acute Care Hospitals · Hastings, NEBellevue Medical Center, LLC
Acute Care Hospitals · Bellevue, NEPhysician 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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.
Which organizations bill Medicare for Jordan Broekhuis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Broekhuis reassigns Medicare benefits to 4 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Brigham & Womens Physicians Organization Inc (Boston, MA) and Unmc Physicians (Omaha, NE). Each 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 Broekhuis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Broekhuis accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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 The Nebraska Medical Center, Mary Lanning Healthcare 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.
# Jordan Broekhuis, MD · NPI 1609396480
Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1609396480 (Entity type: Individual)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 271032 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-8290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Unmc Physicians (NPI 1417912114, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609396480) · Data from the CMS NPPES public registry.