JORDAN DAVID MANDEL (MD) – Physical Medicine & Rehabilitation Physician, NPI 1962590125

JORDAN DAVID MANDEL (MD) is a healthcare provider. based in Greenfield, Wisconsin. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. 32480 (WI). The NPI Number for JORDAN DAVID MANDEL (MD) is 1962590125

Main info

Male
Name
JORDAN DAVID MANDEL (MD)
NPI
1962590125
Phone
(414) 433-1000
Address
4710 W LOOMIS RD
Enumeration Date
11 October 2006
Last Update Date
20 July 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JORDAN DAVID MANDEL (MD)

  • 4710, West Loomis Road, Honey Creek Circle, Greenfield, Milwaukee County, Wisconsin, 53220, United States

    GREENFIELD, WI 532204823

    Phone: (414) 433-1000

    Fax: (414) 433-0195

    Mailing address matches the actual address.

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: 2010-03-31

PECOS data refreshed: 2026-06-15

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
I20100331000311IPhysical Medicine And RehabilitationWITBD

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 53220)

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Reviews

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Frequently asked questions

What unique ID ties claims to JORDAN DAVID MANDEL (MD)?
NPI 1962590125 is assigned to JORDAN DAVID MANDEL (MD) under the national enumeration system.
Does this profile mean JORDAN DAVID MANDEL (MD) is currently active?
Yes — JORDAN DAVID MANDEL (MD) appears active in the national provider directory.
Can you summarize JORDAN DAVID MANDEL (MD)'s specialty in plain language?
Clinically, the directory lists JORDAN DAVID MANDEL (MD) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What location shows for JORDAN DAVID MANDEL (MD)?
We surface Greenfield, Wisconsin for JORDAN DAVID MANDEL (MD) based on available NPPES addresses.
How can I contact JORDAN DAVID MANDEL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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