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JORDAN ALEXANDER BEACHAM MD
NPI 1629915640
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 29, 2026PECOS Enrolled
833 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-1085(215) 955-5041 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Alexander Beacham Md NPPES

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

JORDAN ALEXANDER BEACHAM MD (NPI 1629915640) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629915640
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN ALEXANDER BEACHAMCredential: MD
Location Address833 CHESTNUT STPhiladelphia, PA 19107-4414
Mailing Address833 Chestnut St Fl 1Philadelphia, PA 19107-4404 · (973) 580-3704
Phone(215) 955-1085
Fax(215) 955-5041
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1629915640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
833 CHESTNUT ST, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Alexander Beacham Md 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.

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.

DR. JOHN W. CARUSO M.D.
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
MARY E BADURA M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (800) 326-7002
MS. ETHEL MARIE CLAIRE JOLICOEUR M.SC., M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 873-2083
VINCENZO BERGHELLA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. VICTOR A. DIAZ JR. M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6539
DR. MARC J. ALTSHULER M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DONA CHEN M.D.
Pediatrics
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (302) 651-4200
MS. CHRISTINA SUZANNE GIATROPOULOS M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2331

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 Jordan Beacham's NPI number?

The NPI number for Jordan Beacham is 1629915640. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Jordan Beacham located?

Jordan Beacham practices at 833 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-1085.

What is Jordan Beacham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Beacham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Beacham was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.