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 CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Smith 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 ID7517315146
PECOS Enrollment IDI20231121000845
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

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.