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Jordan Salumu Masudi

Physician β€’ Washington, UT

Active NPI 1194523712 Individual Practitioner Male Practitioner
Practice location in NPPES

875 W Red Cliffs Dr Ste 9
Washington, UT 847801586

Call 4345594006 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

875 W Red Cliffs Dr Ste 9

Washington, UT 847801586

Telephone 4345594006
Organization at the Same NPPES Address or Phone
Bellevue Health Consulting Facility NPI 1780571497

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-23
Public Health or Welfare Primary Specialty

NUCC Taxonomy Code: 251K00000X

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 23, 2026

Registered at 875 W RED CLIFFS DR STE 9, WASHINGTON, UT 847801586 (Tel: 4345594006)

πŸ“
Updated Business Mailing Address March 23, 2026

Registered at 875 W RED CLIFFS DR STE 9, WASHINGTON, UT 847801586 (Tel: 4355594006)

πŸ“
Updated Business Mailing Address June 24, 2025

Registered at 334 S 400 E APT 13, CEDAR CITY, UT 847203473 (Tel: 5135013718)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2025

Home Health

βœ…
NPI Profile Active March 07, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 07, 2025

Registered at 334 S 400 E APT 13, CEDAR CITY, UT 847203473 (Tel: 5135013718)

πŸ“
Business Mailing Address (Initial Record) March 07, 2025

Registered at 1764 CULVER CT APT 10, AMELIA, OH 451022259 (Tel: 5135013718)

πŸ‘€
Provider Name / Credentials (Initial Record) March 07, 2025

Recorded as JORDAN MASUDI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration March 07, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194523712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2025
Last Update: March 23, 2026
Sole Proprietor: Yes

Mailing Address

875 W Red Cliffs Dr Ste 9

Washington, UT 847801586

Phone: 4355594006

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.