WILLIAM L. JORDAN MD PC
NPI 1306094065
Specialist in Oak Park, MI
About William L. Jordan Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM L. JORDAN MD PC (NPI 1306094065) is a healthcare organization registered as a specialist in Oak Park, Michigan and active in the NPI registry since September 2008. The organization lists William Luke Jordan, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William L. Jordan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William L. Jordan MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D0894248
William L Jordan, MD · Oak Park, MIFrequently 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 William L. Jordan MD PC's NPI number?
The NPI number for William L. Jordan MD PC is 1306094065. It was assigned to this organization in the NPPES registry on September 5, 2008.
Where is William L. Jordan MD PC located?
William L. Jordan MD PC is located at 12900 W 9 Mile Rd, Oak Park, MI 48237. The listed phone number is (248) 547-9292.
What is William L. Jordan MD PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is William L. Jordan MD PC enrolled in Medicare?
Yes. William L. Jordan MD PC is registered in the Medicare PECOS enrollment system.
When is William L. Jordan MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through William L. Jordan MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to William L. Jordan MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does William L. Jordan MD PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list William L. Jordan MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for William L. Jordan MD PC was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# William L. Jordan Md Pc · NPI 1306094065
Specialist organization in Oak Park, Michigan. Organization record, active in the CMS NPPES registry since September 5, 2008.
## Identity
- **NPI:** 1306094065 (Entity type: Organization)
- **Enumerated:** September 5, 2008
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** William Jordan, OWNER/PRESIDENT
## Practice location
- **Address:** 12900 W 9 MILE RD, Oak Park, MI 48237-2990
- **Phone:** (248) 547-9292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2009
- **Other identifiers:** Medicaid 4352155 10 (MI); Other 1606306732; Medicare PIN 0630673 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306094065) · Data from the CMS NPPES public registry.