Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Young Ji, MD

Individual provider Neurology Physician · NPI 1477603504

Dr. Jonathan Young Ji, MD is a Neurology in South Bend, Indiana. Graduated from Tufts University School of Medicine in 2006, 20 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
20
Trained at
Tufts University School of Medicine
Licensed in
IL, IN, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

615 N Michigan St Fl 1
South Bend, IN 46601-1033
Phone: (574) 647-1610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 901 Macarthur Blvd, Munster, IN 46321-2901 — (219) 703-1990
  • 8901 Wisconsin Ave Wrnmmc, Bethesda, MD 20889-5001 — (301) 295-4771
  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 288-8000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01064532A (IN)
Neurology Physician Taxonomy 2084N0400X · Licence 77177 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence 036162049 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 21273 (WI)

Record details

NPI number1477603504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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