DR. JONATHAN MITRY MD, MSC
NPI 1104406974
Student in an Organized Health Care Education/Training Program in Pasadena, CA
About Dr. Jonathan Mitry Md, Msc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN MITRY MD, MSC (NPI 1104406974) is an individual student in an organized health care education/training program in Pasadena, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jonathan Mitry Md, Msc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Mitry's NPI number?
The NPI number for Jonathan Mitry is 1104406974. It was assigned to this individual provider in the NPPES registry on April 14, 2021.
Where is Jonathan Mitry located?
Jonathan Mitry practices at 3280 E Foothill Blvd, Pasadena, CA 91107. The listed phone number is (833) 574-2273.
What is Jonathan Mitry's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathan Mitry enrolled in Medicare?
Yes. Jonathan Mitry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jonathan Mitry was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jonathan Mitry, MD, MSC · NPI 1104406974
Student in an Organized Health Care Education/Training Program provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1104406974 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3280 E FOOTHILL BLVD, Pasadena, CA 91107-3148
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104406974) · Data from the CMS NPPES public registry.