Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jordan Ray Sall, DO

Individual provider Internal Medicine Physician · NPI 1811242753

Dr. Jordan Ray Sall, DO is an Internal Medicine in Grand Rapids, Michigan. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988
Phone: (616) 719-0919
Fax: (616) 719-0933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 212 S Sullivan Ave, Fremont, MI 49412-1548 — (616) 391-3139
  • 4025 Health Park Ln, Saint Joseph, MI 49085-3421 — (269) 429-7100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101019819 (MI)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence 5101019819 (MI)

Record details

NPI number1811242753
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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