DR. SUMANAS WANANT JORDAN M.D.
NPI 1225349350
Plastic Surgery in Chicago, IL

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 19-250, CHICAGO, IL 60611(312) 695-6022(312) 695-5672 Get Directions Write a Review

NPPES record last updated: October 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2018, Jul 3, 2017 (2 updates tracked since 2017).

About Dr. Sumanas Wanant Jordan M.d. NPPES

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

DR. SUMANAS WANANT JORDAN M.D. (NPI 1225349350) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036140399) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Emory University School Of Medicine (2010).

NPPES Registry Identity

NPI1225349350
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. SUMANAS WANANT JORDANCredential: M.D.
Location Address675 N SAINT CLAIR ST STE 19-250Chicago, IL 60611-5964
Mailing Address675 N Saint Clair St Ste 19-250Chicago, IL 60611-5964 · (312) 695-6022 · Fax (312) 695-5672
Fax(312) 695-5672
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateOctober 27, 20182 updates tracked since enumeration
NPI 1225349350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in IL · 036140399
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

675 N SAINT CLAIR ST STE 19-250, Chicago, IL 60611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sumanas Wanant Jordan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315216322
PECOS Enrollment IDI20180727000848
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
675 N SAINT CLAIR ST STE 19-250
CHICAGO, IL 60611
Physician Assistant
675 N SAINT CLAIR ST STE 19-250
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumanas Jordan's NPI number?

The NPI number for Sumanas Jordan is 1225349350. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Sumanas Jordan located?

Sumanas Jordan practices at 675 N Saint Clair St Ste 19-250, Chicago, IL 60611. The listed phone number is (312) 695-6022.

What is Sumanas Jordan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Sumanas Jordan enrolled in Medicare?

Yes. Sumanas Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sumanas Jordan affiliated with any hospitals?

According to CMS data, Sumanas Jordan is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sumanas Jordan was last updated on October 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.