Active NPI
Jordan Charles Achtman, MD
- Dermatology Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S5531
- 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
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Pediatric Dermatology Physician
- Grapevine, TX
- NPI 1487060679
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, PLLC
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 100
- Quality
- 79.15
- Promoting interoperability
- 92
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of skin lesions | 1138 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 293 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200708001570 | TX | Practitioner - Dermatology | 4284057381 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5531 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PDP of Texas, PLLC | Dermatology | Current | Accepting new patients |
| Pediatric Dermatology of No. TX | Past | 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
7000 Preston Rd
Ste 500
Plano, TX 75024
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
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | S5531 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2025.
{
"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
- Acg Medical Supply Incorporated
- Achieve Hearing & Rehabilitation, Inc
- Achieve Hearing & Rehabilitation, Inc.
- Achieve Physical Therapy and Performance Limited Partnership
- Daniel S. Achtman, M.D.
- Robert M Ackerman, D.C.
- Shira Ackerman, DDS
- Linda Dorraine Acosta-Smith, LPC-S, LPCC
- Eduardo Galang Acosta, M.D.
- Joel E Acosta, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.