DR. KHADIJAH YASIN JORDAN M.D.
NPI 1528022688
Obstetrics & Gynecology in Chesapeake, VA

Active since April 14, 2006CLIA 49D1044198 · Waiver
111 MEDICAL PKWY, SUITE 202, CHESAPEAKE, VA 23320(757) 436-2424(757) 436-6628 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Khadijah Yasin Jordan M.d. NPPES

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

DR. KHADIJAH YASIN JORDAN M.D. (NPI 1528022688) is an individual obstetrics & gynecology provider in Chesapeake, Virginia, licensed in Virginia (0101052592) and active in the NPI registry since April 2006. She holds a CLIA Waiver certificate valid through November 30, 2027.

NPPES Registry Identity

NPI1528022688
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KHADIJAH YASIN JORDANCredential: M.D.
Location Address111 MEDICAL PKWY, SUITE 202Chesapeake, VA 23320-0302
Mailing Address111 Medical Pkwy, Suite 202Chesapeake, VA 23320-0302 · (757) 436-2424 · Fax (757) 436-6628
Fax(757) 436-6628
Sole ProprietorYes
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 8, 2009
NPI 1528022688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101052592
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.
111 MEDICAL PKWY, Chesapeake, VA 23320

Other Identifiers 3

Medicare UPING13925VA
Medicare ID-Type Unspecified00W590K01VA
Medicaid10202531VA

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 49D1044198

Khadijah Jordan, MD, PC Dba Jordan Associates, Ob/Gyn · Chesapeake, VA
Active · expires Nov 30, 2027
CLIA Number49D1044198
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorKhadijah Y. Jordan
Laboratory Phone(757) 436-2424
Laboratory LocationKhadijah Jordan, MD, PC Dba Jordan Associates, Ob/Gyn111 Medical Parkway, 2nd Floor, Chesapeake, VA 23320
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
32 services32 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

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.

Obstetrics & Gynecology (Obstetrics)
111 MEDICAL PKWY, SUITE 202
CHESAPEAKE, VA 23320
Nurse Practitioner (Women's Health)
111 MEDICAL PKWY
CHESAPEAKE, VA 23320
Obstetrics & Gynecology
111 MEDICAL PKWY, SUITE 202
CHESAPEAKE, VA 23320
Obstetrics & Gynecology
111 MEDICAL PKWY
CHESAPEAKE, VA 23320

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 Khadijah Jordan's NPI number?

The NPI number for Khadijah Jordan is 1528022688. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Khadijah Jordan located?

Khadijah Jordan practices at 111 Medical Pkwy Suite 202, Chesapeake, VA 23320. The listed phone number is (757) 436-2424.

What is Khadijah Jordan's specialty?

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

Does Khadijah Jordan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1044198) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khadijah Jordan was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.