Individual provider Active NPI

Jordan Douglas Hawkins, DPM

  • Podiatrist
  • Glenview, IL
National Provider Identifier
1295430775
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016006178 Issued in IL
Practice address
2200 Waukegan Rd Ste F
Glenview, IL 60025-1759
Phone
(847) 558-7670
Fax
(888) 202-3110
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016006178 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2200 Waukegan Rd Ste F
Glenview, IL 60025-1759

Mailing address

2726 Ravineside LN S # 2
Howell, MI 48843-6542
Phone (517) 672-6488

Other practice location 1

720 Roosevelt Rd
Glen Ellyn, IL 60137-5806
Phone (847) 558-7670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Active Health PLLC Past Accepting new patients

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1295430775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 RAVINESIDE LN S # 2",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436542",
            "telephone_number": "517-672-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WAUKEGAN RD STE F",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251759",
            "telephone_number": "847-558-7670",
            "fax_number": "888-202-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375806",
            "country_code": "US",
            "telephone_number": "847-558-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JORDAN",
        "middle_name": "DOUGLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006178",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.