MICHAEL J. JORDAN MD
NPI 1215015300
Obstetrics & Gynecology in Walnut Creek, CA

Q: What is Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1215015300. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Michael Jordan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2006PECOS Enrolled

320 LENNON LN, WALNUT CREEK, CA 94598(925) 906-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael J. Jordan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J. JORDAN MD (NPI 1215015300) is an individual obstetrics & gynecology provider in Walnut Creek, California, licensed in California (G45265) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215015300

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL J. JORDANCredential: MD

Location Address320 LENNON LNWalnut Creek, CA 94598-2419

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(925) 906-2000

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215015300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · G45265

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

320 LENNON LN, Walnut Creek, CA 94598

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Other Identifiers 3

Medicare UPINA49962

Medicare ID-Type Unspecified00G452650

Medicaid00G452650CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J. Jordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA MARIE HECKENLIVELY M.S., CCC-SLP

Speech-Language Pathologist