DR. JORDAN RAY SALL D.O
NPI 1811242753
Internal Medicine in Saint Joseph, 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 Saint Joseph, 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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Jordan Sall reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Coloma, MI 49038
- Reassigned Medicare billing, Michigan enrollment
- 107 clinicians in this Medicare group
Kalamazoo, MI 49048
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 124 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.
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 49085 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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 4025 Health Park Ln, Saint Joseph, MI 49085. The listed phone number is (269) 429-7100.
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.
Which organizations bill Medicare for Jordan Sall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Sall reassigns Medicare benefits to 7 organizations: Lakeland Medical Practices (Saint Joseph, MI), Hospice At Home, Inc. (Saint Joseph, MI), Lakeland Community Hospital Watervliet (Coloma, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Emmanuel Hospice (Grand Rapids, MI) and 2 more organizations, listed in the Medicare section above. 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 Sall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 Saint Joseph, 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:** 4025 HEALTH PARK LN, Saint Joseph, MI 49085-3421
- **Phone:** (269) 429-7100
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI); Hospice At Home, Inc. (NPI 1831186311, Saint Joseph, MI); Lakeland Community Hospital Watervliet (NPI 1083710701, Coloma, MI); Sound Inpatient Physicians-Michigan, PLLC (NPI 1093967861, Kalamazoo, MI); Emmanuel Hospice (NPI 1851187652, Grand Rapids, MI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2012
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811242753) · Data from the CMS NPPES public registry.