JORDAN BLAKE JOHNSON M.D.
NPI 1629336029
Anesthesiology in Portland, OR

Q: What is Jordan Johnson's NPI number?

The NPI number for Jordan Johnson is 1629336029. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Q: What is Jordan Johnson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Johnson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 24, 2012PECOS EnrolledAccepts Medicare Assignment

93.48/100

CMS Quality Rating

707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205(503) 299-9906(503) 225-9002 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Oct 15, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Jordan Blake Johnson M.d. NPPES

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

JORDAN BLAKE JOHNSON M.D. (NPI 1629336029) is an individual anesthesiology provider in Portland, Oregon, licensed in Oregon (MD177889) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1629336029

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJORDAN BLAKE JOHNSONCredential: M.D.

Location Address707 SW WASHINGTON ST STE 700Portland, OR 97205-3523

Mailing AddressPo Box 35147, #1801Seattle, WA 98124-5147 · (503) 299-9906 · Fax (503) 225-9002

Phone(503) 299-9906

Fax(503) 225-9002

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2007

Enumeration DateApril 24, 2012

Last NPPES UpdateSeptember 24, 20205 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1629336029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in OR · MD177889

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

707 SW WASHINGTON ST STE 700, Portland, OR 97205

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (509) 494-2872

Other Identifiers 1

Medicaid500654900OR

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 Blake Johnson M.d. 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 ID5799930368

PECOS Enrollment IDI20190722002687

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 10

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

30 services30 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

26 services25 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

25 services25 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

21 services21 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

20 services20 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500002

Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.16

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

DR. JUSTIN DAVID RAMOS MD

Anesthesiology