JONATHAN SMITH
NPI 1699496349
Student in an Organized Health Care Education/Training Program in Naperville, IL

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
3503 MALVINA CT, NAPERVILLE, IL 60564(512) 788-8077 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan Smith NPPES

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

JONATHAN SMITH (NPI 1699496349) is an individual student in an organized health care education/training program in Naperville, Illinois and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699496349
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN SMITH
Location Address3503 MALVINA CTNaperville, IL 60564-4159
Mailing Address3503 Malvina CtNaperville, IL 60564-4159 · (512) 788-8077
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
NPI 1699496349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

3503 MALVINA CT, Naperville, IL 60564

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Jonathan Smith 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.

Jonathan Smith 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: 7517315146

    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: I20231121000845

    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

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. Jonathan Smith is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVOCATE LUTHERAN GENERAL HOSPITAL1775 DEMPSTER ST
PARK RIDGE, IL 60068
(847) 723-2210Acute Care Hospitals
ADVOCATE GOOD SAMARITAN HOSPITAL3815 HIGHLAND AVENUE
DOWNERS GROVE, IL 60515
(630) 275-5900Acute Care Hospitals

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699496349, enumerated as an "individual" on September 09, 2022.

The provider is located at 3503 MALVINA CT NAPERVILLE, IL 60564 and the phone number is (512) 788-8077.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.

Jonathan Smith is affiliated with: ADVOCATE LUTHERAN GENERAL HOSPITAL and ADVOCATE GOOD SAMARITAN HOSPITAL.