Individual provider Active NPI

Jordan Leeann Young, DPM

  • Foot Surgery Podiatrist
  • Ann Arbor, MI
National Provider Identifier
1487235545
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901400527 Issued in MI
Practice address
3768 Packard St
Ann Arbor, MI 48108-2090
Phone
(734) 975-1700
NPI assigned
Apr 19, 2021
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5901400527 MI Primary

Addresses

Primary practice location

3768 Packard St
Ann Arbor, MI 48108-2090

Mailing address

8031 Pardee Rd
Taylor, MI 48180-2323
Phone (517) 582-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726001929 MI Practitioner - Podiatry 0648679266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley E Seel DPM PCGroup PAC ID 4183707631, 5 clinicians

Practice addresses (Care Compare)

3768 Packard St
Suite a
Ann Arbor, MI 48108-2090
Phone (734) 975-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue180
Removal of skin lesions22
Removal of nail tissue472
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley E Seel DPM PC Foot Surgery CurrentSince Jul 8, 2024 Accepting new patients
United Footcare PA PastSince Jul 8, 2024 Accepting new patients

Locations

3768 Packard St
Ste A
Ann Arbor, MI 48108
Phone (734) 975-1700

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.

Hospital & facility affiliations 3

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1487235545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 PARDEE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802323",
            "telephone_number": "517-582-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082090",
            "telephone_number": "734-975-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JORDAN",
        "middle_name": "LEEANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901400527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.