NPIMap

Individual provider Active NPI

Johannes Hendrik Jordaan, M.D.

  • Diagnostic Radiology Physician
  • Waterville, ME
National Provider Identifier
1992782759
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
015908 Issued in ME
Practice address
149 North St
Waterville, ME 04901-4974
Phone
(207) 872-1000
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 015908 ME Primary

Addresses

Primary practice location

149 North St
Waterville, ME 04901-4974

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000974 ME Practitioner - Diagnostic Radiology 8820052822 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Maine Mobile MRI Assoc 9 clinicians
Radiology Alliance of Maine LLC 9 clinicians
Sebasticook Valley Health 35 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901-4974

35 Medical Ctr Pkwy
Augusta, ME 04330-8160

447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039
  • Northern Light Sebasticook Valley Hospital Hospital, Pittsfield, ME, CCN 201313
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015908MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Feb 14, 2010 Accepting new patients
Maine Mobile MRI Assoc Diagnostic Radiology CurrentSince Nov 9, 2013 Accepting new patients
Sebasticook Valley Health CurrentSince Apr 7, 2024 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 14, 2010 Accepting new patients
Radiology Alliance of Maine, LLC Diagnostic Radiology CurrentSince Oct 1, 2013 Accepting new patients
Maine Mobile MRI Assoc Diagnostic Radiology CurrentSince Nov 9, 2013 Accepting new patients
Sebasticook Valley Health CurrentSince Apr 7, 2024 Accepting new patients
Radiology Consultants of Maine, LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

30 Chase Ave
Unit 1ST
Waterville, ME 04901
Phone (207) 873-0729

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 11

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 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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1992782759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-872-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAAN",
        "first_name": "JOHANNES",
        "middle_name": "HENDRIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "015908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.