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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: October 18, 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
Phone(888) 813-8326
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Team Mental Health Services Inc.
2.1 mi
Primary Care
3646 MOUNT ELLIOTT ST
Detroit, MI 48207
  • Reassigned Medicare billing, Michigan enrollment
  • 116 clinicians in this Medicare group
NPI 1295324291 (313) 626-2400

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

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.

GERARD M MOSBY MD
Pediatrics
10201 E JEFFERSON AVE, SUITE 201A
DETROIT, MI 48214
Wayne County (313) 821-3777
VERNIE BESHAI SST
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (888) 813-8326
CHRISTIAN WATSON
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 446-8980
ANTONIO BRUNSON
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 446-8980
JUMEL BUTTS
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 446-8980
ALEXA BAXT
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (888) 813-8326
MARGARET FINN LLMSW
Social Worker (Clinical)
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (888) 813-8326
GABRIELLE GRAY
Social Worker
10201 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 818-7999

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.

Which organization bills Medicare for Jonathon Portaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Portaro reassigns Medicare benefits to Team Mental Health Services Inc. (Detroit, MI). 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 Jonathon Portaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathon Portaro accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare 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 19 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.