Individual provider Active NPI

Aaron Matthew Jordan, MD

  • Family Medicine Physician
  • Aitkin, MN
National Provider Identifier
1184940090
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54145 Issued in MN
Practice address
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone
(218) 927-2157
Fax
(218) 927-4130
NPI assigned
Apr 16, 2010
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54145 MN Primary

Addresses

Primary practice location

200 Bunker Hill Dr
Aitkin, MN 56431-1865

Mailing address

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajordan216344@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000603 MN Practitioner - Family Practice 4385817782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Practice addresses (Care Compare)

2 E Ctr Ave
McGregor, MN 55760-1433
Phone (218) 768-4011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. CurrentSince Oct 15, 2013 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Oct 15, 2013 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jun 1, 2025 Accepting new patients
The Duluth Clinic, LTD. PastSince Aug 27, 2011 Accepting new patients
Aitkin Community Hospital, Inc. Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1184940090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AARON",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "54145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajordan216344@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Bunker Hill Dr",
            "city": "Aitkin",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564311865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.