MR. NATHAN JOHN JORDAN (MD) – Diagnostic Radiology Physician, NPI 1013953868
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for MR. NATHAN JOHN JORDAN (MD)
Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259746
Phone: (616) 363-7339
Type: Mailing
Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States
ST JOSEPH, MI 49085
Phone: (269) 983-8300
Fax: (269) 983-6965
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: 2004-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041007000287 | I | Diagnostic Radiology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 433 | 428 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 276 | 276 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 274 | 273 | $0 |
| 70553 | Mri scan of brain before and after contrast | 239 | 236 | $0 |
| 71045 | X-ray of chest, 1 view | 227 | 223 | $0 |
Insurance plans in this area (ZIP 49525)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 71250 | CT scan chest | 36 | 36 |
| DIAGNOSTIC RADIOLOGY | MI | 73630 | X-ray of foot, minimum of 3 views | 25 | 19 |
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 106 | 105 |
| DIAGNOSTIC RADIOLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | MI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology, Interventional Pain Management | IA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | OH |
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