JORDAN M ALVIA (MD) – Family Medicine Physician, NPI 1205574456

JORDAN M ALVIA (MD) is a healthcare provider. based in Madison, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 125080142 (IL). The NPI Number for JORDAN M ALVIA (MD) is 1205574456

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN M ALVIA (MD)
NPI
1205574456
Phone
(414) 242-5468
Address
801 Braxton Pl
Enumeration Date
26 May 2022
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4142425468
Graduation Year
2021 (5 years ago)
PAC ID
6406237767
Group Practice PAC ID
8123448784
Professional Enrollment ID
I20260113002256
Address ID
IL611075291RO345XXPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for JORDAN M ALVIA (MD)

  • 801 Braxton Pl

    Madison, WI 537151415

    Phone: (414) 242-5468

    Type: Location

  • 1127 N OAKLEY BLVD FL 2

    CHICAGO, IL 606223507

    Phone:

    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: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250923003449IFamily PracticeWITBD
I20260113002256IFamily PracticeILTBD

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 53715)

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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: 8123448784View full group profile
NameSpecialtyState
Internal MedicineMO
Nurse PractitionerWI
Internal MedicineWI
Nurse PractitionerTN
Nurse PractitionerMO
Internal MedicineTN
Internal Medicine, HospitalistWI
Family PracticeSC
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Is JORDAN M ALVIA (MD) listed with a National Provider Identifier?
Yes — JORDAN M ALVIA (MD) has NPI 1205574456 on file in the registry.
Is JORDAN M ALVIA (MD) still an active registrant?
JORDAN M ALVIA (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for JORDAN M ALVIA (MD)?
At a glance, JORDAN M ALVIA (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JORDAN M ALVIA (MD) associated with Madison?
Public fields place JORDAN M ALVIA (MD) around Madison, Wisconsin. Always confirm the exact site before visiting.
Does JORDAN M ALVIA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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