NPIMap

Organization Active NPI

Jordan-Young Inst for Joint Reconstruction and Sports Medicine, LLC

Doing business as Jordan-Young Institute

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1033145404
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JORDAN-YOUNG INST FOR JOINT RECONSTRUCTION AND SPORTS MEDICINE, LLC
Doing business as
Jordan-Young Institute
Practice address
5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone
(757) 502-8570
Fax
(757) 961-9767
NPI assigned
Jun 25, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jack L Siegel, MDNPI 1770512006
Title
President
Phone
(757) 576-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784

Mailing address

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 502-8570

Other names 3

  • Jordan-Young Institute Doing business as
  • JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS MEDICINE Former legal business name
  • Jordan-Young Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031220000061 VA Part B Supplier - Clinic/Group Practice 0042118655 Receives reassigned benefits from 49 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

5501 Greenwich Rd
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8570

5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1033145404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-502-8570",
            "fax_number": "757-961-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 CLEVELAND ST",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621784",
            "telephone_number": "757-502-8570",
            "fax_number": "757-961-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN-YOUNG INST FOR JOINT RECONSTRUCTION AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-576-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan-Young Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jordan-Young Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS MEDICINE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jordan-Young",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.