DR. JORDAN OLIVERIO (DPM) – Podiatrist, NPI 1134796360

DR. JORDAN OLIVERIO (DPM) is a healthcare provider. based in North canton, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 10520 (WV). The NPI Number for DR. JORDAN OLIVERIO (DPM) is 1134796360

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN OLIVERIO (DPM)
NPI
1134796360
Phone
(412) 715-7170
Address
306 WOODSIDE AVE NE
Enumeration Date
7 June 2021
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3042571026
Graduation Year
2021 (5 years ago)
PAC ID
6709324205
Group Practice PAC ID
4183082712
Professional Enrollment ID
I20240815000901
Address ID
WV268479566PE117XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for DR. JORDAN OLIVERIO (DPM)

  • 306 WOODSIDE AVE NE

    NORTH CANTON, OH 447202550

    Phone: (412) 715-7170

    Type: Mailing

  • 200 E STATE ST

    ALLIANCE, OH 446014936

    Phone: (412) 715-7170

    Type: Location

  • 2430 MEADOW SPRING CIR

    AKRON, OH 443124971

    Phone: (412) 715-7170

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,241.

Total Amount is formed as General ($1,241) + Research ($0) + Ownership ($0) = $1,241.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Arthrex, Inc. ($722).

Total Amount

$1,241

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2024-08-15

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
I20240815000901IPodiatryWVTBD

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 44720)

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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: 4183082712View full group profile
NameSpecialtyState
Nurse PractitionerWV
Physician AssistantWV
Nurse PractitionerWV
Internal MedicineWV
Nurse PractitionerVA
Physician AssistantVA
Physician AssistantVA
Emergency MedicineWV
Nurse PractitionerWV
Internal MedicineWV

Reviews

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Frequently asked questions

How is DR. JORDAN OLIVERIO (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. JORDAN OLIVERIO (DPM) with NPI 1134796360.
Can I rely on DR. JORDAN OLIVERIO (DPM) being an active provider?
As of the registry snapshot, DR. JORDAN OLIVERIO (DPM) is marked active.
What is DR. JORDAN OLIVERIO (DPM)'s primary classification?
Podiatrist is the headline specialty for DR. JORDAN OLIVERIO (DPM) here. Clinical services aligned with this taxonomy classification.
Where is DR. JORDAN OLIVERIO (DPM) based?
DR. JORDAN OLIVERIO (DPM) is tied to North Canton, Ohio in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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