Individual provider Active NPI

Charles J Jordan, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1114122249
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME108949 Issued in FL
Practice address
15955 SW 96TH St
Suite 401
Miami, FL 33196-1271
Phone
(786) 467-3430
Fax
(786) 533-9695
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME108949 FL Primary

Addresses

Primary practice location

15955 SW 96TH St
Suite 401
Miami, FL 33196-1271

Mailing address

PO Box 100905
Atlanta, GA 30384-0905
Phone (786) 467-3430

Other identifiers 4

IdentifierTypeStateIssuer
5121218OtherFLCIGNA
003735300MedicaidFL
14CQ8OtherFLBCBS
9510656OtherFLAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLESJO@cerner.directbaptisthealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000712 FL Practitioner - Orthopedic Surgery 7517137854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Baptist Health Medical Group Orthopedics, LLCGroup PAC ID 9335228899, 69 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

15955 SW 96 St
Suite 401
Miami, FL 33196-1272
Phone (786) 467-3430

Hospital & facility affiliations

  • High Standard Health Services Inc Home health agency, Miami, FL, CCN 109330
  • America-Loving Care Home Health Inc Home health agency, Doral, FL, CCN 108241
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108949FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC Orthopaedic Surgery CurrentSince Sep 4, 2012 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Sep 4, 2012 Accepting new patients

Locations

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

1228 S Pine Island Rd
Ste 310
Plantation, FL 33324
Phone (954) 392-1725

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: charlesjo@cerner.directbaptisthealth.com
  • Direct secure messaging: charlesjo@cerner.directbaptisthealth.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1114122249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST",
            "address_2": "SUITE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961271",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME108949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5121218",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003735300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14CQ8",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9510656",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLESJO@cerner.directbaptisthealth.net",
            "affiliation": "N",
            "address_1": "15955 SW 96th St",
            "address_2": "suite 401",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.