Active NPI
Jordan Francis Demchuk, MD
- Adult Medicine Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 4301509394
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-5710
- NPI assigned
- Apr 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351046347 | MI | |
| Hospitalist Physician | 208M00000X | 0101286442 | VA | |
| Adult Medicine Physician | 207QA0505X | 4301509394 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
1200 E Michigan Ave Ste 245
Lansing, MI 48912-1897
Phone (517) 364-5710
Other practice location 1
600 Gresham Dr Ste 5
Norfolk, VA 23507-1904
Phone (757) 388-3198
Other names 1
- Dr. Jordan Demchuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3198
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351046347 | MI | MD | Family Medicine Physician |
| 4301509394 | MI | MD | Adult Medicine Physician |
| 0101286442 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity - Michigan Hospitalists PC | Single Specialty | Current | Accepting new patients |
| Sentara Medical Group | Single Specialty | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614
600 Gresham Dr
Ste 5
Norfolk, VA 23507
Phone (757) 388-3198
600 Gresham Dr
#5B
Norfolk, VA 23507
Phone (757) 388-3198
600 Gresham Dr
Fl 5
Norfolk, VA 23507
Phone (757) 388-3198
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Single Specialty
-
- Long Term Care Hospital
- Lansing, MI
- NPI 1437655842
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1154942266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 245",
"city": "LANSING",
"state": "MI",
"postal_code": "489121897",
"telephone_number": "517-364-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-5710"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-3198",
"fax_number": "757-388-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMCHUK",
"first_name": "JORDAN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-29",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4351046347",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101286442",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MI",
"license": "4301509394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "DEMCHUK",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.