DR. JOURDAN CANCIENNE MD
NPI 1821433210
Orthopaedic Surgery - Sports Medicine in Joliet, IL

NPI Status: Active since April 30, 2013

Contact Information

963 N 129TH INFANTRY DR
JOLIET, IL
ZIP 60435
Phone: (708) 492-5900
Fax: (708) 409-5179

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  • Individual
  • Male
  • Years of Experience 13
  • Orthopaedic Surgery
  • Sports Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOURDAN CANCIENNE

This page provides the complete NPI Profile along with additional information for Jourdan Cancienne, a provider established in Joliet, Illinois with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 13 years of experience. He graduated from Tulane University School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1821433210 assigned on April 2013. The practitioner's primary taxonomy code is 207XX0005X with license number 036145036 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1821433210
Provider Name
DR. JOURDAN CANCIENNE MD
Gender
Male
Entity Type
Individual
Location Address
963 N 129TH INFANTRY DR JOLIET, IL 60435
Location Phone
(708) 492-5900
Location Fax
(708) 409-5179
Mailing Address
963 N 129TH INFANTRY DR JOLIET, IL 60435
Mailing Phone
(708) 492-5900
Mailing Fax
(708) 409-5179
Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-30-2013
Last Update Date
11-01-2024
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Location Map

Secondary Locations

  • 55 Shuman Blvd Ste 700
    Naperville, IL 60563
    (877) 632-6637
  • 9200 Calumet Ave Ste 300
    Munster, IN 46321
    (877) 632-6637

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
036145036
License State
IL
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

01079836A (IN)
2207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

036145036 (IL)
3207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

01079836A (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jourdan Cancienne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jourdan Cancienne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2062641095

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180523000776, I20180523003010

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf (HCPCS:L3670)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 68 times for 49 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 60 times for 46 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 53 times for 43 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 11 times for 11 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 69 times for 46 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 17 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 30 times for 30 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 68 times for 68 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 16 times for 16 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 1-10 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 11 times for 11 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 72 times for 56 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 48 times for 36 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jourdan Cancienne is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ELMHURST MEMORIAL HOSPITAL155 EAST BRUSH HILL ROAD
ELMHURST, IL 60126
(331) 221-0130Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821433210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284183622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 8 + 3 + 6 + 2 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1821433210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043264252DR. ELIGIJUS P LELIS MD
Individual
Ophthalmology963 N 129TH INFANTRY DR SUITE 110
JOLIET, IL 60435
(815) 729-3777
1891749081DR. MAJID RASSOULI DO
Individual
Ophthalmology963 N 129TH INFANTRY DR SUITE 110
JOLIET, IL 60435
(815) 729-3777
1801903497MUKUND KOMANDURI MD SC
Organization
Orthopaedic Surgery963 N 129TH INFANTRY DR SUITE 100
JOLIET, IL 60435
(815) 741-6900
1871628230ELIGIJUS P LELIS MD & ASSOCIATES, SC
Organization
Durable Medical Equipment & Medical Supplies963 N 129TH INFANTRY DR SUITE 110
JOLIET, IL 60435
(815) 725-9377
1184750465ELIGIJUS P LELIS MD & ASSOCIATES, SC
Organization
Durable Medical Equipment & Medical Supplies963 N 129TH INFANTRY DR SUITE 110
JOLIET, IL 60435
(815) 725-9377
1780710780ELIGIJUS P LELIS MD & ASSOCIATES, SC
Organization
Durable Medical Equipment & Medical Supplies963 N 129TH INFANTRY DR STE 110
JOLIET, IL 60435
(815) 725-9377
1598953275AMBER LASER LLC
Organization
Clinic/Center (Ambulatory Surgical)963 N 129TH INFANTRY DR SUTIE 120
JOLIET, IL 60435
(815) 729-3777
1518364538 TAHIR JAFFERY PA
Individual
Physician Assistant963 N 129TH INFANTRY DR 100
JOLIET, IL 60435
(815) 741-6900
1700830957ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C.
Organization
Ophthalmology963 N 129TH INFANTRY DR STE 110
JOLIET, IL 60435
(815) 729-3777
1992246094 BRITTANY DUDA ATC
Individual
Specialist/Technologist (Athletic Trainer)963 N 129TH INFANTRY DR SUITE 100
JOLIET, IL 60435
(815) 741-6900
1013671106MIDWEST ORTHOPAEDICS AT RUSH LLC
Organization
Durable Medical Equipment & Medical Supplies963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1437548120 NITIN GOYAL MD
Individual
Orthopaedic Surgery (Hand Surgery)963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1326752643ORTHOMIDWEST, PLLC
Organization
Durable Medical Equipment & Medical Supplies963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1083475297 MATTHEW A CREASEY PA-C
Individual
Physician Assistant963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1356835136DR. EDWARD SHIN HUR MD
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1497538185 GIANNA MARIE PRUCHA PA
Individual
Physician Assistant963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1639903313 KAELIN CALLOW PA-C
Individual
Physician Assistant963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1699571802 NORA BROWN OT
Individual
Occupational Therapist963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637
1871483362 JACOB RICHARD GENORD SPT
Individual
Physical Therapist963 N 129TH INFANTRY DR
JOLIET, IL 60435
(877) 632-6637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821433210, enumerated in the NPI registry as an "individual" on April 30, 2013

The provider is located at 963 N 129th Infantry Dr Joliet, Il 60435 and the phone number is (708) 492-5900

The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine

The provider has more than 13 years of experience. He graduated from Tulane University School Of Medicine in 2013.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Injection, methylprednisolone acetate, 40 mg, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of hip, 2-3 views, X-ray of knee, 4 or more views and X-ray of shoulder, minimum of 2 views.

The practitioner is affiliated to the following hospital(s): ELMHURST MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 30, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.