Individual provider Active NPI

Jordan Paul Downing, DO

  • Family Medicine Physician
  • Luke Afb, AZ
National Provider Identifier
1952574626
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7202 Issued in TX
Practice address
56TH Medical Group
7219 N. Litchfield Rd
Luke Afb, AZ 85309
Phone
(623) 856-7500
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.000188 LA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X R7202 TX Primary

Addresses

Primary practice location

56TH Medical Group
7219 N. Litchfield Rd
Luke Afb, AZ 85309

Mailing address

56TH Medical Group
7219 N. Litchfield Rd
Luke Afb, AZ 85309
Phone (623) 856-7500

Other identifiers 1

IdentifierTypeStateIssuer
1161161MedicaidLA

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
I20241016003381 TX Order and Referring Only - Family PracticePractitioner - Family Practice 0941334981

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7202TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1952574626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56TH MEDICAL GROUP",
            "address_2": "7219 N. LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85309",
            "telephone_number": "623-856-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56TH MEDICAL GROUP",
            "address_2": "7219 N. LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "85309",
            "telephone_number": "623-856-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "JORDAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "DO.000188",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luke Afb, AZ

Sources for this page

Verify at the official NPI Registry.