JORDAN T BOIVIN, MD — NPI 1346863750 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in KALAMAZOO, MI)

CMS-1500 Box 24J / 33a • NPI

1346863750

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207XX0005X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

2490 S 11TH ST STE 201, KALAMAZOO, MI, 49009-2175

✓ 9-Digit EDI 837 ZIP+4 (49009-2175)

Practice Phone & Referral Fax

(269) 343-1535

Fax: (269) 343-0418

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1346863750 (JORDAN T BOIVIN, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1346863750` (NPI-1 Individual Practitioner)
Provider / Legal Name	JORDAN T BOIVIN, MD
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `207XX0005X` (Orthopaedic Surgery, Sports Medicine)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	2490 S 11TH ST STE 201, KALAMAZOO, MI, 49009-2175
Practice Telephone / Fax	Tel: (269) 343-1535 \| Fax: (269) 343-0418
Administrative Mailing Address	3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380
Enumeration & Last Sync	Enumerated: 2020-05-20 \| CMS Record Updated: 2026-09-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2490 S 11TH ST STE 201, KALAMAZOO, MI, 49009-2175

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Plain-English Taxonomy & CMS Crosswalk (207XX0005X)

What Does Taxonomy Code 207XX0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XX0005X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery) • CMS Code 23 (Physician/Sports Medicine)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JORDAN T BOIVIN, MD)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207XX0005X` — Orthopaedic Surgery, Sports Medicine Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MI \| License: `4301517677` \| Primary: Yes (Primary)
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: MI \| License: `4351046936` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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JORDAN T BOIVIN, MD (NPI #1346863750)