Kelly M Jordan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012484 Issued in NY

Practice address

4949 Harlem Rd
Amherst, NY 14226-2500

Phone

(716) 204-3255

Fax

(716) 204-4061

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.23 of 100Reported as group

Quality

27.79

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as group

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Cost

81.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjordan@ubortho.medentdirect.com

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.

• University Orthopaedic Services, Inc

  • Orthopaedic Surgery Physician
  • Cheektowaga, NY
  • NPI 1578599866
  Medicare reassignment Care Compare group NPD
• Great Lakes Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1861763005
  Medicare reassignment Care Compare group
• University Orthopaedic Services Inc.

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1528209962
  NPD
• University Radiology at Buffalo, Inc.

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1750744751
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1467624809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-204-3255",
            "fax_number": "716-204-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-204-3255",
            "fax_number": "716-204-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Micah Johnson, O.D.
• Courtney Ann Jones, PHARMD
• Elizabeth Jones
• Joshua Lewis Jones, MD
• Rene A Jones, LMFT
• Joseph D Gentile MD PC
• Joseph L. Maddi, Physician, P.C.
• Joseph R. Berardi, MD PC
• Claire Joshi
• Joyful Journey Mental Health Counseling PLLC

• Physician Assistant in Amherst, NY
• Providers in Amherst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.

Verify at the official NPI Registry.