DR. JORDAN SULLIVAN DPM
NPI 1255877643
Podiatrist - Foot & Ankle Surgery in Milwaukee, WI

Q: What is Jordan Sullivan's NPI number?

The NPI number for Jordan Sullivan is 1255877643. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Q: What is Jordan Sullivan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Sullivan was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 10, 2017PECOS EnrolledAccepts Medicare Assignment

2301 N LAKE DR, PODIATRIC RESIDENCY OFFICE, MILWAUKEE, WI 53211(402) 310-7374 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jordan Sullivan Dpm NPPES

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

DR. JORDAN SULLIVAN DPM (NPI 1255877643) is an individual foot & ankle surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (18096) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255877643

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JORDAN SULLIVANCredential: DPM

Location Address2301 N LAKE DR, PODIATRIC RESIDENCY OFFICEMilwaukee, WI 53211-4508

Mailing Address2301 N Lake Dr, Podiatric Residency OfficeMilwaukee, WI 53211-4508

Phone(402) 310-7374

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 10, 2017

✔ NPI 1255877643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in WI · 18096

2301 N LAKE DR, Milwaukee, WI 53211

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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. Jordan Sullivan Dpm 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 ID7113381526

PECOS Enrollment IDI20230918002310

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 4

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.

Correction of bunion with 2 areas of realignment 28299

A bunion correction with 2 areas of realignment is a surgical procedure to fix a bony bump on the foot. The surgery involves realigning the bone and joint, to relieve pain and improve foot function. The two areas of realignment help restore natural foot shape.

80 services58 patients

Repair of toe tendon 28010

A repair of a toe tendon is a surgical procedure to fix a damaged or torn tendon in your toe. This helps restore movement and reduce pain. The procedure involves making a small incision, mending the damaged tendon, and then closing the wound. Post-surgery, physical therapy may be needed for full recovery.

77 services26 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

59 services41 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe 28308

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

46 services31 patients

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.

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