DR. TAYLOR BLAINE JORDAN (MD) – Emergency Medicine Physician, NPI 1023646221

DR. TAYLOR BLAINE JORDAN (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 1090432A (IN). The NPI Number for DR. TAYLOR BLAINE JORDAN (MD) is 1023646221

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLOR BLAINE JORDAN (MD)
NPI
1023646221
Phone
(502) 852-8659
Address
530 S JACKSON ST # C1H17
Enumeration Date
1 April 2020
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
8122832581
Graduation Year
2020 (6 years ago)
PAC ID
0941604920
Group Practice PAC ID
6709122724
Professional Enrollment ID
I20230617000233
Address ID
IN471303725JE1220XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for DR. TAYLOR BLAINE JORDAN (MD)

  • 530 S JACKSON ST # C1H17

    LOUISVILLE, KY 402021675

    Phone: (502) 852-8659

    Fax: (502) 852-0066

    Type: Mailing

  • 634 E BURNETT AVE

    LOUISVILLE, KY 402171122

    Phone: (256) 558-1836

    Fax: (502) 852-0066

    Type: Mailing

  • 1220 MISSOURI AVE

    JEFFERSONVILLE, IN 471303725

    Phone: (256) 558-1836

    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: 2023-06-17

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
I20230617000233IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making104101$0
99284Emergency department visit with moderate level of medical decision making3635$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 6709122724View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. TAYLOR BLAINE JORDAN (MD) for billing?
Administrative and clinical systems typically use NPI 1023646221 for DR. TAYLOR BLAINE JORDAN (MD).
Is DR. TAYLOR BLAINE JORDAN (MD)'s NPI status active today?
Active status means DR. TAYLOR BLAINE JORDAN (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. TAYLOR BLAINE JORDAN (MD) does?
Insurance directories may phrase it differently, but here DR. TAYLOR BLAINE JORDAN (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. TAYLOR BLAINE JORDAN (MD) in Louisville, Kentucky?
For routing, start with Louisville, Kentucky for DR. TAYLOR BLAINE JORDAN (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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