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

Jordan O Booty, MD

Individual provider Diagnostic Radiology Physician · NPI 1336384189

Jordan O Booty, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2008, 18 years ago. Practices with Main Line Health Imaging LP, a 50-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St 1 Silverstein
Philadelphia, PA 19104
Phone: (215) 662-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD451981 (PA)

Record details

NPI number1336384189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2008
Last updated in NPPESMay 30, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Main Line Health Imaging Lp — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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