DR. JORDAN WILLIAMS MD
NPI 1639707334
Surgery in Travis Afb, CA

Q: What is Jordan Williams's NPI number?

The NPI number for Jordan Williams is 1639707334. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Q: What is Jordan Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Williams was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 March 29, 2020PECOS Enrolled

60 MDG/SGCS, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-5216 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2021, Mar 29, 2020 (2 updates tracked since 2020).

On this page

About Dr. Jordan Williams Md NPPES

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

DR. JORDAN WILLIAMS MD (NPI 1639707334) is an individual surgery provider in Travis Afb, California, licensed in California (202930) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2020).

NPPES Registry Identity

NPI1639707334

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JORDAN WILLIAMSCredential: MD

Location Address60 MDG/SGCS, 101 BODIN CIRCLETravis Afb, CA 94535-1809

Mailing Address60 Mdg/sgcs, 101 Bodin CircleTravis Afb, CA 94535-1809

Phone(707) 423-5216

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2020

Enumeration DateMarch 29, 2020

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1639707334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · 202930

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.

60 MDG/SGCS, Travis Afb, CA 94535

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Williams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860957925

PECOS Enrollment IDI20260720000684

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

19 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANYAL FER M.D.

Surgery

60 MDG/SGCS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

Solano County (707) 423-7842

DR. KIANNA WITHERSPOON WILLIAMS DPT

Physical Therapist

60 MDG/SGCS, 101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-7899

SHAWN M HANNAH

Physician Assistant

60 MDG/SGCS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

Solano County (707) 423-3216

DR. MICHAEL D'AMORE MD

Anesthesiology

60 MDG/SGCS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

Solano County (707) 423-3217

JUSTIN DOUGLAS CHARLANTINI MD

Anesthesiology

60 MDG/SGCS, 101 BODIN CIR
TRAVIS AFB, CA 94535

Solano County (707) 423-3000

STEPHANIE M SCARAMELLA MD

Obstetrics & Gynecology

60 MDG/SGCS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

Solano County (707) 423-7693

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 Williams's NPI number?

The NPI number for Jordan Williams is 1639707334. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Jordan Williams located?

Jordan Williams practices at 60 Mdg/Sgcs 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-5216.

What is Jordan Williams's specialty?

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

Is Jordan Williams enrolled in Medicare?

Yes. Jordan Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Williams reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Williams'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 Williams was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.