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MARY CHISHOLM JORDAN D.O.
NPI 1467618694
Obstetrics & Gynecology in Troy, MI

Active since August 07, 2008PECOS Enrolled
44199 DEQUINDRE RD, SUITE 415, TROY, MI 48085(248) 964-6061(248) 964-6054 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Chisholm Jordan D.o. NPPES

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

MARY CHISHOLM JORDAN D.O. (NPI 1467618694) is an individual obstetrics & gynecology provider in Troy, Michigan, licensed in Michigan (5101010084) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467618694
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY CHISHOLM JORDANCredential: D.O.
Location Address44199 DEQUINDRE RD, SUITE 415Troy, MI 48085-1128
Mailing Address44199 Dequindre Rd, Suite 415Troy, MI 48085-1128 · (248) 964-6061 · Fax (248) 964-6054
Phone(248) 964-6061
Fax(248) 964-6054
Sole ProprietorNo
Enumeration DateAugust 7, 2008
✔ NPI 1467618694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101010084
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.
44199 DEQUINDRE RD, Troy, MI 48085
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Chisholm Jordan D.o. 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 Reassignment

Medicare enrollment records show Mary Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Medical Group- Specialty Services
8.9 mi
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
NPI 1578072906 (248) 898-5000

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 48085 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

DEBORAH S RUARK MD PC
Surgery
44199 DEQUINDRE RD, STE 509
TROY, MI 48085
Oakland County (248) 879-1330
AMY L BEEMAN DO PLLC
Internal Medicine (Geriatric Medicine)
44199 DEQUINDRE RD, SUITE 518
TROY, MI 48085
Oakland County (248) 964-6090
JOSEPHINE ISKANDER, MD PLLC
Medicare Defined Swing Bed Unit
44199 DEQUINDRE RD, STE 304
TROY, MI 48085
Oakland County (248) 964-6407
DR. AYMAN RAYES MD
Psychiatry & Neurology (Neurology)
44199 DEQUINDRE RD, STE 418
TROY, MI 48085
Oakland County (248) 828-8520
DR. MARK S FRIEDLAND MD PC MD
Surgery (Vascular Surgery)
44199 DEQUINDRE RD, STE 623
TROY, MI 48085
Oakland County (248) 828-5707
HOSSAM ELDEEN ABDEEN MOHAMED HASSAN MD
Pediatrics
44199 DEQUINDRE RD, 615
TROY, MI 48085
Oakland County (248) 964-9660
DR. JOHN PATRICK QUIGLEY M.D.
Pediatrics
44199 DEQUINDRE RD, SUITE 222
TROY, MI 48085
Oakland County (248) 879-5570
MARK S FRIEDLAND MD PC
Surgery (Vascular Surgery)
44199 DEQUINDRE RD, 623
TROY, MI 48085
Oakland County (248) 828-5707

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 Mary Jordan's NPI number?

The NPI number for Mary Jordan is 1467618694. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Mary Jordan located?

Mary Jordan practices at 44199 Dequindre Rd Suite 415, Troy, MI 48085. The listed phone number is (248) 964-6061.

What is Mary Jordan's specialty?

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

Is Mary Jordan enrolled in Medicare?

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

Which organization bills Medicare for Mary Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jordan reassigns Medicare benefits to Beaumont Medical Group- Specialty Services (Royal Oak, MI). The 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 Mary 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 Mary Jordan was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.