Active NPI
Jordan Jabara, MD
- Ophthalmology Physician
- Traverse City, MI
National Provider Identifier
1376274258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301517655
- Practice address
- 929 Business Park Dr
Traverse City, MI 49686-8683 - Phone
- (231) 947-6246
- NPI assigned
- Jun 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301517655 | MI | Primary |
Addresses
Primary practice location
929 Business Park Dr
Traverse City, MI 49686-8683
Mailing address
929 Business Park Dr
Traverse City, MI 49686-8683
Phone (231) 947-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220624000921 | MI | Order and Referring Only - Ophthalmology | 1456730217 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Western Michigan Un Homer Stryker School of Med, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
929 Business Park Dr
Traverse City, MI 49686-8683
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315235044 | MI | MD | Ophthalmology Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1376274258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 BUSINESS PARK DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496868683",
"telephone_number": "231-947-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 BUSINESS PARK DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496868683",
"telephone_number": "231-947-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABARA",
"first_name": "JORDAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-21",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301517655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.