Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Zane Tacktill, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1942560727

Dr. Jordan Zane Tacktill, DPM is a Podiatry in Roanoke, Virginia. Graduated from Barry University School of Podiatric Medicine in 2010, 16 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
16
Trained at
Barry University School of Podiatric Medicine
Licensed in
FL, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

222 Walnut Ave SW
Roanoke, VA 24016-4723
Phone: (540) 344-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103301083 (VA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence PO3534 (FL)

Record details

NPI number1942560727
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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