JORDAN BLAKE FERGUSON DO
NPI 1538697537
Pediatrics in Indianapolis, IN

Q: What is Jordan Ferguson's NPI number?

The NPI number for Jordan Ferguson is 1538697537. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Q: What is Jordan Ferguson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Ferguson was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 June 02, 2017PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-5000(317) 963-5492 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 7, 2025, Nov 15, 2024, Jun 4, 2024 and 4 more (7 updates tracked since 2017).

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About Jordan Blake Ferguson Do NPPES

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

JORDAN BLAKE FERGUSON DO (NPI 1538697537) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (02007657A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Marian University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1538697537

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJORDAN BLAKE FERGUSONCredential: DO

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109 · (317) 944-5000

Phone(317) 944-5000

Fax(317) 963-5492

Sole ProprietorNo

Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2017

Enumeration DateJune 2, 2017

Last NPPES UpdateMarch 7, 20257 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1538697537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 02007657A✔ Licensed in OH · 34.014921✔ Licensed in IA · R-10953✔ Licensed in IA · DO-05346

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid300090157IN

Other1101473792IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Jordan Blake Ferguson Do 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 ID2466722301

PECOS Enrollment IDI20240612003246

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 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)