Individual provider Active NPI

Jordan Ashton Lang, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1427453414
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2017013701 Issued in MO
Practice address
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Phone
(314) 747-3000
NPI assigned
Nov 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2017013701 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003

Mailing address

4567 W Pine Blvd Apt 627
Saint Louis, MO 63108-2189
Phone (909) 894-8039

Other practice location 1

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 932-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220727002037 CA Practitioner - Diagnostic Radiology 8123400801 Reassigns benefits to 11 organizations
I20221223001085 WA Practitioner - Diagnostic Radiology 8123400801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

1221 Madison St
Suite 150
Seattle, WA 98104-1385
Phone (206) 215-6487

3147 Olympic Rd
Fairfield, CA 94534-8327
Phone (541) 618-5800

55 Uranus Ter
San Francisco, CA 94114-1829
Phone (541) 618-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017013701MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jun 7, 2024 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Swedish Health Services CurrentSince Sep 22, 2022 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Oct 14, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Swedish Health Services CurrentSince Sep 22, 2022 Accepting new patients
Pet-CT Imaging at Swedish Cancer Institute LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince Apr 25, 2023 Accepting new patients

Locations

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

121 Sotoyome St
Fl 2
Santa Rosa, CA 95405

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

1619 NW Hawthorne Ave
Ste 102
Grants Pass, OR 97526
Phone (541) 471-6033

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

1221 Madison St
Ste 150
Seattle, WA 98104
Phone (206) 215-6433

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427453414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 W PINE BLVD APT 627",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082189",
            "telephone_number": "909-894-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-747-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W California Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053010",
            "country_code": "US",
            "telephone_number": "626-932-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "JORDAN",
        "middle_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2017013701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.