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DEANNAH MARIE JORDAN MD
NPI 1700405859
Pediatrics in Norfolk, VA

Active since April 09, 2020PECOS Enrolled
1529 INTERNATIONAL BLVD STE 103, NORFOLK, VA 23513(757) 855-6800 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Deannah Marie Jordan Md NPPES

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

DEANNAH MARIE JORDAN MD (NPI 1700405859) is an individual pediatrics provider in Norfolk, Virginia, licensed in Virginia (0101278658) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2020).

NPPES Registry Identity

NPI1700405859
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDEANNAH MARIE JORDANCredential: MD
Location Address1529 INTERNATIONAL BLVD STE 103Norfolk, VA 23513-4802
Mailing Address8468 Jane WayNorfolk, VA 23503-4008 · (814) 270-3065
Phone(757) 855-6800
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1700405859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101278658
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1529 INTERNATIONAL BLVD STE 103, Norfolk, VA 23513
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Other Names 1

Former Name (1)Deannah Marie Dick Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deannah Marie Jordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729553433
PECOS Enrollment IDI20260410000695
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 Deannah Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Medical Group Inc
Same address
Pediatrics
1529 INTERNATIONAL BLVD STE 301
Norfolk, VA 23513
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
NPI 1629546106 (757) 855-6800

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 23513 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

CHILDRENS PHYSICIAN GROUP INC
Pediatrics
1529 INTERNATIONAL BLVD STE 103
NORFOLK, VA 23513
Norfolk City (757) 855-6800

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 Deannah Jordan's NPI number?

The NPI number for Deannah Jordan is 1700405859. It was assigned to this individual provider in the NPPES registry on April 9, 2020. The provider is also known as Deannah Marie Dick MD.

Where is Deannah Jordan located?

Deannah Jordan practices at 1529 International Blvd Ste 103, Norfolk, VA 23513. The listed phone number is (757) 855-6800.

What is Deannah Jordan's specialty?

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

Is Deannah Jordan enrolled in Medicare?

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

Which organization bills Medicare for Deannah Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deannah Jordan reassigns Medicare benefits to Childrens Medical Group Inc (Norfolk, VA). 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 Deannah 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 Deannah Jordan was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.