MICHAEL ANDREW JORDAN (M.D.) – Ophthalmology Physician, NPI 1861889776

MICHAEL ANDREW JORDAN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 65545 (MN). The NPI Number for MICHAEL ANDREW JORDAN (M.D.) is 1861889776

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ANDREW JORDAN (M.D.)
NPI
1861889776
Phone
(701) 367-6181
Address
4448 30TH AVE S
Enumeration Date
17 April 2015
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
6123384861
Graduation Year
2015 (11 years ago)
PAC ID
0042599110
Group Practice PAC ID
8729000435
Professional Enrollment ID
I20190618001380
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL ANDREW JORDAN (M.D.)

  • 4448 30TH AVE S

    MINNEAPOLIS, MN 554063713

    Phone: (701) 367-6181

    Type: Mailing

  • 701 Park Ave

    Hennepin County Medical Center TY Residency

    Minneapolis, MN 554151623

    Phone: (701) 367-6181

    Type: Location

  • 420 Delaware Street SE,

    MMC 493

    Minneapolis, MN 55406

    Phone: (701) 367-6181

    Type: Location

  • 825 NICOLLET MALL STE 2000

    MINNEAPOLIS, MN 554022708

    Phone: (612) 338-4861

    Type: Mailing

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: 2019-06-18

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
I20190618001380IOphthalmologyMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55406)

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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: 8729000435View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YMN
-MN
O P T O M E T R YMN
O P H T H A L M O L O G YMN

Reviews

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Frequently asked questions

Does MICHAEL ANDREW JORDAN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL ANDREW JORDAN (M.D.) uses 1861889776.
Does the file indicate MICHAEL ANDREW JORDAN (M.D.) is practicing under active NPI?
Directory data currently reports MICHAEL ANDREW JORDAN (M.D.) as active.
What is MICHAEL ANDREW JORDAN (M.D.)'s primary classification?
Ophthalmology Physician is the headline specialty for MICHAEL ANDREW JORDAN (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL ANDREW JORDAN (M.D.)?
MICHAEL ANDREW JORDAN (M.D.)'s geographic hint is Minneapolis, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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