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JONATHAN GEORGE WOLBERT DO
NPI 1669931754
Physical Medicine & Rehabilitation - Pain Medicine in Ann Arbor, MI

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
325 E EISENHOWER PKWY STE 310, ANN ARBOR, MI 48108(810) 247-4717 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Jonathan George Wolbert Do NPPES

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

JONATHAN GEORGE WOLBERT DO (NPI 1669931754) is an individual pain medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101027258) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Port St Lucie, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1669931754
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameJONATHAN GEORGE WOLBERTCredential: DO
Location Address325 E EISENHOWER PKWY STE 310Ann Arbor, MI 48108-3307
Mailing Address325 E Eisenhower Pkwy Ste 310Ann Arbor, MI 48108-3307 · (810) 247-4717
Phone(810) 247-4717
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1669931754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in MI · 5101027258
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
325 E EISENHOWER PKWY STE 310, Ann Arbor, MI 48108
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 SE Tiffany AvePort St Lucie, FL 34952-7521 · Phone (772) 398-3623

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan George Wolbert Do 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.

PECOS PAC ID3274960786
PECOS Enrollment IDI20241015003825
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Wolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,993 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DR. SEAN RONALD SELLWOOD MD
Pain Medicine (Interventional Pain Medicine)
325 E EISENHOWER PKWY STE 310
ANN ARBOR, MI 48108
Washtenaw County (734) 647-9983
DR. LAYTH EMAD DAHBOUR MD
Anesthesiology (Pain Medicine)
325 E EISENHOWER PKWY STE 310
ANN ARBOR, MI 48108
Washtenaw County (734) 647-9983

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 Wolbert's NPI number?

The NPI number for Jonathan Wolbert is 1669931754. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Jonathan Wolbert located?

Jonathan Wolbert practices at 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108. The listed phone number is (810) 247-4717.

What is Jonathan Wolbert's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jonathan Wolbert enrolled in Medicare?

Yes. Jonathan Wolbert 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.

Which organization bills Medicare for Jonathan Wolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wolbert reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Wolbert was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.