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JONATHAN AMBUT
NPI 1669036620
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 25, 2019PECOS Enrolled
1215 LEE ST BOX 801406, CHARLOTTESVILLE, VA 22908(434) 924-1825 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Aug 14, 2023, Apr 25, 2019 (3 updates tracked since 2019).

About Jonathan Ambut NPPES

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

JONATHAN AMBUT (NPI 1669036620) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669036620
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN AMBUT
Location Address1215 LEE ST BOX 801406Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box 801406Charlottesville, VA 22908-0816
Phone(434) 924-1825
Sole ProprietorNo
Enumeration DateApril 25, 2019
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1669036620 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.
1215 LEE ST BOX 801406, Charlottesville, VA 22908
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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 Ambut 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISA YAEL ESPOSITO MARTINEZ MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 801406
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1825

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 Ambut's NPI number?

The NPI number for Jonathan Ambut is 1669036620. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Jonathan Ambut located?

Jonathan Ambut practices at 1215 Lee St Box 801406, Charlottesville, VA 22908. The listed phone number is (434) 924-1825.

What is Jonathan Ambut'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 Ambut enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Ambut was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.