Jordan Daniel Fett, M.D
NPI 1336599273ActiveIndividual· Pediatrics, Pediatric Pulmonology· Winston Salem, NC
Pediatrics, Pediatric Pulmonology (M.D) in Winston Salem, North Carolina, licensed in NC and MI, with an NPI issued in June 2016. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1336599273 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | Yes |
| NPI issued | Jun 21, 2016 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Mar 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Pulmonology Primary | 2080P0214X | 2022-02032 | NC |
| Pediatrics | 208000000X | 4301110615 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (NC) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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