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

Jonathan Lee Pike, PA-C

Individual provider Physician Assistant · NPI 1780139014

Jonathan Lee Pike, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Integrated Cardiology Group LLC, a 78-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Fruit St Wacc 440
Boston, MA 02114-2621
Phone: (617) 726-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5812 (MA)

Record details

NPI number1780139014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 22, 2016
Mailing address55 Fruit St, Wacc 440, Boston, MA 02114-2621

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Integrated Cardiology Group Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boston