DR. JORDAN BLAINE COULSTON M.D
NPI 1487850004
Internal Medicine in Gilbert, AZ

Q: What is Jordan Coulston's NPI number?

The NPI number for Jordan Coulston is 1487850004. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Jordan Coulston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Coulston was last updated on November 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2007PECOS Enrolled

1900 N HIGLEY RD, GILBERT, AZ 85234(480) 543-2034(480) 543-2647 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jordan Blaine Coulston M.d NPPES

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

DR. JORDAN BLAINE COULSTON M.D (NPI 1487850004) is an individual internal medicine provider in Gilbert, Arizona, licensed in Arizona (43356) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487850004

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JORDAN BLAINE COULSTONCredential: M.D

Location Address1900 N HIGLEY RDGilbert, AZ 85234-1604

Mailing Address1900 N Higley RdGilbert, AZ 85234-1604 · (480) 543-2034 · Fax (480) 543-2647

Phone(480) 543-2034

Fax(480) 543-2647

Sole ProprietorNo

Enumeration DateJune 21, 2007

Last NPPES UpdateNovember 18, 2010

✔ NPI 1487850004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 43356

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1900 N HIGLEY RD, Gilbert, AZ 85234

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Other Identifiers 1

Medicare PINZ139602AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Blaine Coulston M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DALLIN HAZELGREN

Nurse Anesthetist, Certified Registered