Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JORDAN MUDERY MD
NPI 1770087256
Pediatrics - Pediatric Cardiology in Chicago, IL

Q: What is Jordan Mudery's NPI number?

The NPI number for Jordan Mudery is 1770087256. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Jordan Mudery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mudery was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 March 20, 2018PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2026, Jun 4, 2024, Sep 4, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Jordan Mudery Md NPPES

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

DR. JORDAN MUDERY MD (NPI 1770087256) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Illinois (036168677) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1770087256

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. JORDAN MUDERYCredential: MD

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(312) 227-4000

Sole ProprietorNo

Enumeration DateMarch 20, 2018

Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1770087256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in IL · 036168677✔ Licensed in CO · DR.0077662

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

225 E CHICAGO AVE, Chicago, IL 60611

Open in Google Maps ↗

Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

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 Mudery 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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics