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

Jordan Ray Ilse, MD

Individual provider Dermatology Physician · NPI 1477712479

Jordan Ray Ilse, MD is a Dermatology in Belton, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2007, 19 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2008
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

1300 E 6th Ave
Belton, TX 76513-2810
Phone: (254) 778-5400
Fax: (254) 778-5444
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence N8307 (TX)

Record details

NPI number1477712479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2008
Last updated in NPPESAugust 4, 2017

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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