CALEB LEE JORDAN – Psychiatry Physician, NPI 1619361904
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
52 NEUROPSYCHIATRY in TX
Provider Addresses for CALEB LEE JORDAN
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765080001
Phone: (800) 299-4463
Type: Location
2401 S 31st St
Temple, TX 765080001
Phone: (800) 299-4463
Type: Location
1200 CENTRE ST
ROSLINDALE, MA 021311000
Phone: (617) 363-8614
Fax: (617) 363-8929
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: 2026-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20171106002287 | I | Psychiatry | TX | TBD |
| I20210326000486 | I | Psychiatry | MA | TBD |
| I20231002002309 | I | Psychiatry | TN | TBD |
| I20231003003103 | I | Psychiatry | GA | TBD |
| I20231016001254 | I | Psychiatry | NY | TBD |
| I20241230000855 | I | Psychiatry | CO | TBD |
| I20250325002924 | I | Neuropsychiatry | WA | TBD |
| I20251121002169 | I | Psychiatry | WA | TBD |
| I20260209001625 | I | Psychiatry | CA | 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 75284)
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