JORDAN BUSHMAN (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1679003941

JORDAN BUSHMAN (MD) is a healthcare provider. based in Saint clair shores, Michigan. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 4301112922 (MI). The NPI Number for JORDAN BUSHMAN (MD) is 1679003941

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN BUSHMAN (MD)
NPI
1679003941
Phone
(586) 447-8021
Address
23715 Little Mack Ave Ste 100
Enumeration Date
19 June 2017
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3134736900
Graduation Year
2017 (9 years ago)
PAC ID
6406125350
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20221003001011
Address ID
MI482301507GR468XXRDXX302
Telehealth
Yes

Contacts

Secure Messaging
jbushman4680185@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:8State licenses:2Other names

300 ENDOCRINOLOGY in MI

Provider Addresses for JORDAN BUSHMAN (MD)

  • 23715 Little Mack Ave Ste 100

    Saint Clair Shores, MI 480801181

    Phone: (586) 447-8021

    Fax: (586) 447-8022

    Type: Location

  • 28100 Grand River Ave Ste 314

    Farmington Hills, MI 483365970

    Phone: (947) 521-1549

    Fax: (248) 478-1827

    Type: Location

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 551-3000

    Type: Location

  • 29355 Northwestern Hwy Ste 210

    Southfield, MI 480341045

    Phone: (947) 522-1500

    Fax: (947) 522-1506

    Type: Location

  • 17412 W 13 Mile Rd

    Beverly Hills, MI 480255439

    Phone: (248) 258-8740

    Fax: (248) 258-9329

    Type: Location

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 551-3000

    Type: Mailing

  • 28100 GRAND RIVER AVE STE 314

    FARMINGTON HILLS, MI 483365970

    Phone: (947) 521-1549

    Fax: (248) 478-1827

    Type: Location

  • 28100 GRAND RIVER AVE STE 206

    FARMINGTON HILLS, MI 483365969

    Phone: (947) 521-5025

    Fax: (947) 521-5019

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,416.

Total Amount is formed as General ($1,416) + Research ($0) + Ownership ($0) = $1,416.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Medtronic, Inc. ($215).

Total Amount

$1,416

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,416

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-03

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
I20221003001011IEndocrinologyMITBD

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 minutes33265$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7768$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4428$0
99214Established patient office or other outpatient visit, 30-39 minutes4231$0
99215Established patient office or other outpatient visit, 40-54 minutes3525$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

Is JORDAN BUSHMAN (MD) listed with a National Provider Identifier?
Yes — JORDAN BUSHMAN (MD) has NPI 1679003941 on file in the registry.
Is JORDAN BUSHMAN (MD) still an active registrant?
JORDAN BUSHMAN (MD) carries an active NPI according to the public dataset.
What kind of doctor is JORDAN BUSHMAN (MD)?
JORDAN BUSHMAN (MD) is associated with Endocrinology, Diabetes & Metabolism Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JORDAN BUSHMAN (MD) located near Saint Clair Shores?
JORDAN BUSHMAN (MD) currently maps to Saint Clair Shores, Michigan in this extract.
What does 10 location(s) imply?
10 practice locations appear in the available data.

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