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KENNETH A JORDAN MD
NPI 1235186438
Internal Medicine in Tawas City, MI

Active since May 31, 2006PECOS Enrolled
295 MAPLE ST STE 202, TAWAS CITY, MI 48763(989) 362-6108(989) 362-0161 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2019, Mar 17, 2018, Sep 18, 2017 (3 updates tracked since 2017).

About Kenneth A Jordan Md NPPES

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

KENNETH A JORDAN MD (NPI 1235186438) is an individual internal medicine provider in Tawas City, Michigan, licensed in Michigan (4301040286) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235186438
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH A JORDANCredential: MD
Location Address295 MAPLE ST STE 202Tawas City, MI 48763-9352
Mailing Address117 W Paterson St, Attn: Paula JacksonKalamazoo, MI 49007 · (269) 349-2641 · Fax (269) 201-2855
Phone(989) 362-6108
Fax(989) 362-0161
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 29, 20193 updates tracked since enumeration
✔ NPI 1235186438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301040286
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
295 MAPLE ST STE 202, Tawas City, MI 48763
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Secondary Practice Locations 3

Location 1505 E Alcott StKalamazoo, MI 49001 · Phone (269) 349-2641 ext. 715 · Fax (269) 201-2855
Location 21362 Hickory Hollow DrFlint, MI 48532-2035 · Phone (810) 516-9781
Location 3117 W Paterson StKalamazoo, MI 49007-2557 · Phone (269) 349-2641 ext. 231 · Fax (269) 201-2855

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth A 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Center, Inc.
172 mi
Federally Qualified Health Center (FQHC)
1308 N BURDICK ST
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 75 clinicians in this Medicare group
NPI 1891005906 (269) 488-0803
Beacon Dowagiac Inc
206 mi
Rural Health
420 W HIGH ST
Dowagiac, MI 49047
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Borgess Lee Hospital
  • 37 clinicians in this Medicare group
NPI 1194717504 (269) 783-3052

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48763 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

JOSEPH J VANDERVEEN DO
Internal Medicine
295 MAPLE ST STE 202
TAWAS CITY, MI 48763
Iosco County (989) 362-6108
MRS. AMANDA JACQUES FNP
Nurse Practitioner
295 MAPLE ST STE 202
TAWAS CITY, MI 48763
Iosco County (989) 362-6108
ELIZABETH MYERS FNP-BC
Nurse Practitioner
295 MAPLE ST STE 202
TAWAS CITY, MI 48763
Iosco County (989) 362-6108
DR. JORDAN QUILICO D.O.
Internal Medicine
295 MAPLE ST STE 202
TAWAS CITY, MI 48763
Iosco County (989) 362-6108

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 Kenneth Jordan's NPI number?

The NPI number for Kenneth Jordan is 1235186438. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Kenneth Jordan located?

Kenneth Jordan practices at 295 Maple St Ste 202, Tawas City, MI 48763. The listed phone number is (989) 362-6108.

What is Kenneth Jordan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Jordan enrolled in Medicare?

Yes. Kenneth Jordan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Jordan reassigns Medicare benefits to 2 organizations: Family Health Center, Inc. (Kalamazoo, MI) and Beacon Dowagiac Inc (Dowagiac, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Jordan was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.