DR. JORDAN RAY SALL (D.O) – Internal Medicine Physician, NPI 1811242753
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for DR. JORDAN RAY SALL (D.O)
212 S SULLIVAN AVE
FREMONT, MI 494121548
Phone: (616) 391-3139
Type: Location
100 MICHIGAN ST NE
A721
GRAND RAPIDS, MI 495032560
Phone: (616) 391-3139
Fax: (616) 391-3044
Type: Location
401 HALL ST SW STE 263
GRAND RAPIDS, MI 495034988
Phone: (616) 719-0919
Fax: (616) 719-0933
Type: Mailing
212 S Sullivan Ave
Fremont, MI 494121548
Phone: (616) 391-3139
Type: Location
4025 Health Park Ln
Saint Joseph, MI 490853421
Phone: (269) 429-7100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140721000592 | I | Internal Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 174 | 91 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 43 | 42 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 40 | 29 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 19 | 17 | $0 |
Insurance plans in this area (ZIP 49412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Pediatric Medicine | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI |
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