DR. JORDAN ZANE TACKTILL DPM
NPI 1942560727
Podiatrist - Foot & Ankle Surgery in Roanoke, VA

Active since May 25, 2012PECOS EnrolledAccepts Medicare Assignment
222 WALNUT AVE SW, ROANOKE, VA 24016(540) 344-3668 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Zane Tacktill Dpm NPPES

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

DR. JORDAN ZANE TACKTILL DPM (NPI 1942560727) is an individual foot & ankle surgery provider in Roanoke, Virginia, licensed in Virginia (0103301083) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Barry University School Of Podiatric Medicine (2010).

NPPES Registry Identity

NPI1942560727
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JORDAN ZANE TACKTILLCredential: DPM
Location Address222 WALNUT AVE SWRoanoke, VA 24016-4723
Mailing Address222 Walnut Ave SwRoanoke, VA 24016-4723 · (540) 344-3668
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2010
Enumeration DateMay 25, 2012
Last NPPES UpdateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
NPI 1942560727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in VA · 0103301083 Licensed in FL · PO3534
222 WALNUT AVE SW, Roanoke, VA 24016

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

Dr. Jordan Zane Tacktill Dpm 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 ID446490916
PECOS Enrollment IDI20130703000414, I20150922003013
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Other Providers at the Same Location NPPES 9

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

Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist (Foot & Ankle Surgery)
222 WALNUT AVE SW
ROANOKE, VA 24016
Podiatrist
222 WALNUT AVE SW
ROANOKE, VA 24016

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 Tacktill's NPI number?

The NPI number for Jordan Tacktill is 1942560727. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Jordan Tacktill located?

Jordan Tacktill practices at 222 Walnut Ave SW, Roanoke, VA 24016. The listed phone number is (540) 344-3668.

What is Jordan Tacktill's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jordan Tacktill enrolled in Medicare?

Yes. Jordan Tacktill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Tacktill affiliated with any hospitals?

According to CMS data, Jordan Tacktill is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Tacktill was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.