DR. JORDAN RAY SALL D.O
NPI 1811242753
Internal Medicine in Grand Rapids, MI
About Dr. Jordan Ray Sall D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN RAY SALL D.O (NPI 1811242753) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101019819) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Dr. Jordan Ray Sall D.o 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MICorewell Health Watervliet Hospital
Acute Care Hospitals · Watervliet, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Sall's NPI number?
The NPI number for Jordan Sall is 1811242753. It was assigned to this individual provider in the NPPES registry on July 17, 2012.
Where is Jordan Sall located?
Jordan Sall practices at 401 Hall St SW Ste 263, Grand Rapids, MI 49503. The listed phone number is (616) 719-0919.
What is Jordan Sall's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jordan Sall enrolled in Medicare?
Yes. Jordan Sall 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 Sall accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jordan Sall 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 Sall affiliated with any hospitals?
According to CMS data, Jordan Sall is affiliated with Lakeland Hospital, St Joseph, Corewell Health Watervliet Hospital and Munson Medical Center.
When was this NPI record last updated?
The NPPES record for Jordan Sall was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jordan Ray Sall, D.O · NPI 1811242753
Internal Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 17, 2012.
## Identity
- **NPI:** 1811242753 (Entity type: Individual)
- **Enumerated:** July 17, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101019819 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 HALL ST SW STE 263, Grand Rapids, MI 49503-4988
- **Phone:** (616) 719-0919 · **Fax:** (616) 719-0933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2012
## Record status
- **NPPES last updated:** March 10, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1811242753) · Data from the CMS NPPES public registry.