Individual provider Active NPI

Timothy Michael Jordan, D.O.

  • Cardiovascular Disease Physician
  • Largo, FL
National Provider Identifier
1770824948
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS15966 Issued in FL
Practice address
1551 W Bay Dr Ste 300
Largo, FL 33770-2209
Phone
(727) 581-3550
Fax
(184) 429-7880
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS15966 FL
Internal Medicine Physician 207R00000X 5101020439 MI
Cardiovascular Disease Physician 207RC0000X OS15966 FL Primary

Addresses

Primary practice location

1551 W Bay Dr Ste 300
Largo, FL 33770-2209

Mailing address

1551 W Bay Dr Ste 300
Largo, FL 33770-2209
Phone (727) 581-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190829003372 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6901189570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

1551 W Bay Dr
Largo, FL 33770-2209

201 14TH St SW
Largo, FL 33770-3133
Phone (727) 588-5200

6006 49TH St N
Saint Petersburg, FL 33709-2149

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince Mar 1, 2020 Accepting new patients
West Florida Cardiology Network, LLC Cardiovascular Disease CurrentSince Sep 9, 2019 Accepting new patients
Cardiology Consultants Specialist Past Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1345 West Bay Dr
Ste 101
Largo, FL 33770
Phone (727) 581-3550

1551 West Bay Dr
Ste 300
Largo, FL 33770
Phone (727) 531-3550

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: timothy.jordan@hca4.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: tjordan490979@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1770824948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W BAY DR STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702209",
            "telephone_number": "727-581-3350",
            "fax_number": "727-586-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W BAY DR STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702209",
            "telephone_number": "727-581-3550",
            "fax_number": "184-429-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS15966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020439",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS15966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.