What is Kelly Jordan's NPI number?

Kelly Jordan's National Provider Identifier (NPI) is 1083060396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Jordan's specialty?

Kelly Jordan is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Kelly Jordan located?

Kelly Jordan's practice location on file with NPPES is 747 52nd St, Oakland, CA 94609-1809.

What is Kelly Jordan's phone number?

The practice phone number listed in the NPPES registry for Kelly Jordan is (510) 428-3331.

Does Kelly Jordan accept Medicare?

Kelly Jordan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Kelly Jordan's NPI active?

Yes — Kelly Jordan's NPI (1083060396) is active in the NPPES registry as of the last update on 2022-12-20.

IndividualActiveAccepts Medicare

Kelly Jordan, M.D.

NPI 1083060396 · Pediatric Critical Care Medicine Physician · Oakland, CA

Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Kelly Jordan, M.D. is a Pediatric Critical Care Medicine Physician provider in Oakland, CA (NPI 1083060396).

Provider details

NPI number: 1083060396
Entity type: Individual
Primary specialty: Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: Yes
License: MD60945855 (WA)

Specialties & taxonomies

Pediatric Critical Care Medicine PhysicianPrimary2080P0203XLicense MD60945855 (WA)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense MD60945855 (WA)
Allopathic & Osteopathic Physicians
Pediatric Critical Care Medicine Physician2080P0203XLicense 333542 (LA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

747 52nd St

Oakland, CA 94609-1809

Phone: (510) 428-3331

Street-level locationGet directions

More CA providers

Mailing address

3261 Franklin Ave E Apt 7

Seattle, WA 98102-3858

Additional practice locations (1)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone: (504) 842-4000

Enumerated: 2016-05-05
Last updated: 2022-12-20
Certified: 2022-12-20

Frequently asked questions

What is Kelly Jordan's NPI number?: Kelly Jordan's National Provider Identifier (NPI) is 1083060396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kelly Jordan's specialty?: Kelly Jordan is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Kelly Jordan located?: Kelly Jordan's practice location on file with NPPES is 747 52nd St, Oakland, CA 94609-1809.
What is Kelly Jordan's phone number?: The practice phone number listed in the NPPES registry for Kelly Jordan is (510) 428-3331.
Does Kelly Jordan accept Medicare?: Kelly Jordan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Kelly Jordan's NPI active?: Yes — Kelly Jordan's NPI (1083060396) is active in the NPPES registry as of the last update on 2022-12-20.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.