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

Jordan Blake Iceton, MD

Individual provider Cardiovascular Disease Physician · NPI 1376129312

Jordan Blake Iceton, MD is a Cardiovascular Disease (Cardiology) in Rochester, Minnesota. Qualified in 2021, 5 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
5
Licensed in
CA, MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 723-4000
  • 506 6th St, Brooklyn, NY 11215-3609 — (718) 780-3000

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 80650 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence A195430 (CA)

Record details

NPI number1376129312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2021
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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