Individual provider Active NPI

Jordan Charles Achtman, MD

  • Dermatology Physician
  • Plano, TX
National Provider Identifier
1457705295
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S5531 Issued in TX
Practice address
5072 W Plano Pkwy Ste 150
Plano, TX 75093-4474
Phone
(972) 362-9567
Fax
(214) 692-6567
NPI assigned
Apr 18, 2016
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S5531 TX Primary

Addresses

Primary practice location

5072 W Plano Pkwy Ste 150
Plano, TX 75093-4474

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376

Other practice location 1

3200 Broadway Blvd Ste 200
Garland, TX 75043-1571
Phone (972) 271-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200708001570 TX Practitioner - Dermatology 4284057381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

3200 Broadway Blvd
Suite 200
Garland, TX 75043-1571
Phone (972) 271-4141

5072 W Plano Pkwy
150 Daniel S Achtman Dermatology
Plano, TX 75093-4474
Phone (972) 362-9567

6750 N Macarthur Blvd
260 Dallas Associated Dermatologists
Irving, TX 75039-2489
Phone (214) 987-3376

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as individual
Quality
79.15
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions1138
Removal of nail tissue1-10
Skin biopsy293

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Pediatric Dermatology of No. TX PastSince Jun 30, 2024 Accepting new patients

Locations

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

3200 Broadway Blvd
Ste 200
Garland, TX 75043
Phone (972) 271-4141

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

4010 W Park Blvd
Plano, TX 75093
Phone (972) 362-9567

5060 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 505-2551

5072 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (972) 362-9567

7000 Preston Rd
Ste 500
Plano, TX 75024

1940 John King Blvd
Rockwall, TX 75032
Phone (972) 505-2551

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1457705295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934474",
            "telephone_number": "972-362-9567",
            "fax_number": "214-692-6567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Broadway Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750431571",
            "country_code": "US",
            "telephone_number": "972-271-4141",
            "fax_number": "972-278-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHTMAN",
        "first_name": "JORDAN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.