DR. TAMAJAH MARIE JORDAN (M.D.) – Family Medicine Physician, NPI 1093931198

DR. TAMAJAH MARIE JORDAN (M.D.) is a healthcare provider. based in Berwyn, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A96062 (CA). The NPI Number for DR. TAMAJAH MARIE JORDAN (M.D.) is 1093931198

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMAJAH MARIE JORDAN (M.D.)
NPI
1093931198
Phone
(708) 783-2000
Address
3231 EUCLID AVE FL 5
Enumeration Date
17 April 2007
Last Update Date
17 August 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7087830700
Graduation Year
2004 (22 years ago)
PAC ID
1951401256
Group Practice PAC ID
6305109547
Professional Enrollment ID
I20070928000474
Address ID
IL604023429BE3249XAVEX400

Contacts

Secure Messaging
tjordan104668@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. TAMAJAH MARIE JORDAN (M.D.)

  • 3231 EUCLID AVE FL 5

    BERWYN, IL 604024603

    Phone: (708) 783-2000

    Type: Location

  • 5359 W Fullerton Ave

    Chicago, IL 606391450

    Phone: (773) 836-2795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070928000474IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5618$0
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
99238Hospital discharge day management, 30 minutes or less1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 60402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305109547View full group profile
NameSpecialtyState
Family PracticeIL
Endocrinology, Internal MedicineIL
E N D O C R I N O L O G YIL
P S Y C H I A T R YIL
Family PracticeIL
Internal MedicineIL
P S Y C H I A T R YTN
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL
Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference DR. TAMAJAH MARIE JORDAN (M.D.)?
For DR. TAMAJAH MARIE JORDAN (M.D.), use NPI 1093931198 as the unique 10-digit identifier.
Is DR. TAMAJAH MARIE JORDAN (M.D.) still an active registrant?
DR. TAMAJAH MARIE JORDAN (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. TAMAJAH MARIE JORDAN (M.D.)'s focus?
For DR. TAMAJAH MARIE JORDAN (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. TAMAJAH MARIE JORDAN (M.D.) registered?
Use Berwyn, Illinois as the headline location for DR. TAMAJAH MARIE JORDAN (M.D.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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