KENNETH A JORDAN (MD) – Internal Medicine Physician, NPI 1235186438
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH A JORDAN (MD)
505 E Alcott St
Kalamazoo, MI 49001
Phone: (269) 349-2641
Fax: (269) 201-2855
Type: Location
1362 Hickory Hollow Dr
Flint, MI 485322035
Phone: (810) 516-9781
Type: Location
117 W Paterson St
Kalamazoo, MI 490072557
Phone: (269) 349-2641
Fax: (269) 201-2855
Type: Location
117, West Paterson Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States
ATTN: PAULA JACKSON
KALAMAZOO, MI 49007
Phone: (269) 349-2641
Fax: (269) 201-2855
Type: Mailing
295 MAPLE ST STE 202
TAWAS CITY, MI 487639352
Phone: (989) 362-6108
Fax: (989) 362-0161
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: 2006-01-04
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 |
|---|---|---|---|---|
| I20060104000527 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Medical Oncology | IA | |
| Physician Assistant | MI | |
| General Surgery | AZ | |
| Nurse Practitioner | MI |
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