Individual provider Active NPI

Jordan Luke Sikes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
National Provider Identifier
1104155191
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
330 Issued in NE
Practice address
9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone
(402) 391-7575
Fax
(402) 391-1508
NPI assigned
Dec 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 330 NE Primary

Addresses

Primary practice location

9006 Ohio St Ste 1
Omaha, NE 68134-6139

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120531000355 NE Practitioner - Podiatry 4486817418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1226 N Washington St
103 Foot and Ankle Center of Nebraska
Papillion, NE 68046-3064
Phone (402) 391-7575

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

9006 Ohio St
Omaha, NE 68134-6139
Phone (402) 391-7575

Merit-based Incentive Payment System (MIPS)

Final score
20.11 of 100Reported as individual
Quality
35
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue109
Removal of skin lesions17
Removal of nail tissue741
Removal or shaving of skin growth302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jordan.sikes.1@19856.direct.athenahealth.com
  • Direct secure messaging: jsikes@usfas.emadirect.md
  • Direct secure messaging: jordan.sikes@1510.chartlogic.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1104155191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKES",
        "first_name": "JORDAN",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.