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

Jordan Maivelett, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326401290

Jordan Maivelett, MD is an Emergency Medicine in Chicago, Illinois. Graduated from Medical University of South Carolina College of Medicine in 2016, 10 years ago. Practices with Providence Health and Services - Oregon, a 218-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Trained at
Medical University of South Carolina College of Medicine
Licensed in
IL
In the registry since
2016
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL
Fax: (312) 926-6274

No coordinates on file. Search this address in Google Maps

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125-068371 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1326401290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESJanuary 19, 2017

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services - Oregon — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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