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JONATHAN JO
NPI 1629919238
Student in an Organized Health Care Education/Training Program in Fredericksburg, VA

Active since April 06, 2026PECOS Enrolled
1201 SAM PERRY BLVD STE 201, FREDERICKSBURG, VA 22401(540) 741-9200 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Jo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN JO (NPI 1629919238) is an individual student in an organized health care education/training program in Fredericksburg, Virginia and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629919238
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN JO
Location Address1201 SAM PERRY BLVD STE 201Fredericksburg, VA 22401-4491
Mailing Address1001 Sam Perry BlvdFredericksburg, VA 22401-4453
Phone(540) 741-9200
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1629919238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1201 SAM PERRY BLVD STE 201, Fredericksburg, VA 22401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Jo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. ARSEMA KELLETA ZADU MD,MS
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
VENU MADHAV PEDDIBHOTLA
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
GERONIMO GUZMAN MD
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
YASWITHA MIKKILINENI
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
SAGAH AHMED MD
Internal Medicine
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
HUNTER VOSLOW DO
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
HASHIR FAHEEM
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200
JOTE LIMENEH MD
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-9200

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 Jo's NPI number?

The NPI number for Jonathan Jo is 1629919238. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Jonathan Jo located?

Jonathan Jo practices at 1201 Sam Perry Blvd Ste 201, Fredericksburg, VA 22401. The listed phone number is (540) 741-9200.

What is Jonathan Jo'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 Jo enrolled in Medicare?

Yes. Jonathan Jo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Jo was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.