JORDAN M LAUB (MD) – Emergency Medicine Physician, NPI 1417973603

JORDAN M LAUB (MD) is a healthcare provider. based in Portland, Oregon. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. MD15834 (OR). The NPI Number for JORDAN M LAUB (MD) is 1417973603

Main info

Male
Name
JORDAN M LAUB (MD)
NPI
1417973603
Phone
(503) 464-9034
Address
6312 SW CAPITOL HWY # 502
Enumeration Date
14 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JORDAN M LAUB (MD)

  • Southwest Capitol Highway, Multnomah Village, Multnomah, Portland, Multnomah County, Oregon, 97219, United States

    PORTLAND, OR 972391938

    Phone: (503) 464-9034

    Type: Mailing

  • Legacy Mount Hood Medical Center, 24800, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970303378

    Phone: (503) 464-9034

    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: 2020-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100430000233IEmergency MedicineORTBD
I20200411000614IEmergency MedicineWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making4747$0
99284Emergency department visit with moderate level of medical decision making4443$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1918$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Reviews

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Frequently asked questions

Where can patients find JORDAN M LAUB (MD)'s NPI?
You can confirm JORDAN M LAUB (MD) with NPI 1417973603; it appears in the national provider directory.
Does this profile mean JORDAN M LAUB (MD) is currently active?
Yes — JORDAN M LAUB (MD) appears active in the national provider directory.
Does JORDAN M LAUB (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for JORDAN M LAUB (MD). Clinical services aligned with this taxonomy classification.
Where is JORDAN M LAUB (MD)'s primary listing?
We display Portland, Oregon because that is what the record indicates for JORDAN M LAUB (MD).
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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