MR. JONATHON THOMAS PORTARO NP
NPI 1982410049
Nurse Practitioner - Pediatrics in Detroit, MI

Active since December 04, 2024PECOS Enrolled
10201 E JEFFERSON AVE, DETROIT, MI 48214(888) 813-8326 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 28, 2025, Feb 14, 2025, Dec 6, 2024 (3 updates tracked since 2024).

About Mr. Jonathon Thomas Portaro Np NPPES

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

MR. JONATHON THOMAS PORTARO NP (NPI 1982410049) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704330807) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1982410049
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. JONATHON THOMAS PORTAROCredential: NP
Location Address10201 E JEFFERSON AVEDetroit, MI 48214-3149
Mailing Address10201 E Jefferson AveDetroit, MI 48214 · (313) 396-5300 · Fax (313) 274-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 4, 2024
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1982410049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704330807
10201 E JEFFERSON AVE, Detroit, MI 48214

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 (PECOS)

Mr. Jonathon Thomas Portaro Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860997988
PECOS Enrollment IDI20250927000054
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
10201 E JEFFERSON AVE, SUITE 201A
DETROIT, MI 48214
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214

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 Jonathon Portaro's NPI number?

The NPI number for Jonathon Portaro is 1982410049. It was assigned to this individual provider in the NPPES registry on December 4, 2024.

Where is Jonathon Portaro located?

Jonathon Portaro practices at 10201 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (888) 813-8326.

What is Jonathon Portaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jonathon Portaro enrolled in Medicare?

Yes. Jonathon Portaro is registered in the Medicare PECOS enrollment system.

What insurance does Jonathon Portaro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and McLaren Health Plan Community list Jonathon Portaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathon Portaro was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.