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

Jordan Reilly, MD

Individual provider Surgical Critical Care Physician · NPI 1174053458

Jordan Reilly, MD is a General Surgery in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2017, 9 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 267-1712
Fax: (616) 391-8611
Show map & directions

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

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 4301509594 (MI)

Record details

NPI number1174053458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address25859 Glenmoor, Novi, MI 48374-2354

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2017 (9 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Rapids