Individual provider Active NPI

Jordan Elyse Grubbs, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1881081982
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
S9889 Issued in TX
Practice address
5656 Kelley St Ste 30S62008
Houston, TX 77026-1975
Phone
(713) 566-5098
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X S9889 TX Primary

Addresses

Primary practice location

5656 Kelley St Ste 30S62008
Houston, TX 77026-1975

Mailing address

5656 Kelley St Ste 30S62008
Houston, TX 77026-1975
Phone (713) 566-5098

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 590-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210802001067 TX Practitioner - General Surgery 0446675755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

27700 Hwy 290
Cypress, TX 77433-6767

27700 Northwest Fwy
Cypress, TX 77433-6767
Phone (713) 486-5750

27700 Northwest Fwy 320
Cypress, TX 77433-6767
Phone (713) 486-5750

27700 NW Fwy 200
Cypress, TX 77433-6767
Phone (713) 486-5750

5503 N Fry Rd
Harris Health and Contract Pediatric Clinic
Katy, TX 77449-5845
Phone (713) 486-7650

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9889TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2021 Accepting new patients
Ut Physicians Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

27700 NW Freeway
Ste 100
Cypress, TX 77433
Phone (346) 231-6850

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

5656 Kelley St
Ste 30S62008
Houston, TX 77026
Phone (713) 566-5098

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5550 Kelley St
Fl 3
Houston, TX 77026
Phone (713) 566-4768

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 3

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1881081982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST STE 30S62008",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261975",
            "telephone_number": "713-566-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST STE 30S62008",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261975",
            "telephone_number": "713-566-5098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "JORDAN",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "S9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.