JOSE LUIS PRIETO JORDAN MD
NPI 1871224501
Internal Medicine in East Chicago, IN

Active since June 22, 2022PECOS Enrolled
4320 FIR ST UNIT 210, EAST CHICAGO, IN 46312(219) 392-7084 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Luis Prieto Jordan Md NPPES

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

JOSE LUIS PRIETO JORDAN MD (NPI 1871224501) is an individual internal medicine provider in East Chicago, Indiana, licensed in Indiana (01096575A) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871224501
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE LUIS PRIETO JORDANCredential: MD
Location Address4320 FIR ST UNIT 210East Chicago, IN 46312-8410
Mailing Address4320 Fir St Unit 210East Chicago, IN 46312-8410 · (219) 392-7084
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 22, 2022
Last NPPES UpdateJune 20, 2025
NPPES CertifiedJune 20, 2025
NPI 1871224501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01096575A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4320 FIR ST UNIT 210, East Chicago, IN 46312

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jose Luis Prieto Jordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113308685
PECOS Enrollment IDI20260610003016
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 46312 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 2

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

Internal Medicine (Gastroenterology)
4320 FIR ST UNIT 210
EAST CHICAGO, IN 46312
Physician Assistant
4320 FIR ST UNIT 210
EAST CHICAGO, IN 46312

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 Jose Prieto Jordan's NPI number?

The NPI number for Jose Prieto Jordan is 1871224501. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Jose Prieto Jordan located?

Jose Prieto Jordan practices at 4320 Fir St Unit 210, East Chicago, IN 46312. The listed phone number is (219) 392-7084.

What is Jose Prieto Jordan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Prieto Jordan enrolled in Medicare?

Yes. Jose Prieto Jordan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Prieto Jordan was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.