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

Jonathan Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699496349

Jonathan Smith is a Physician Assistant in Naperville, Illinois. Qualified in 2023, 3 years ago. Practices with Cardiac Surgery Associates SC, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

3503 Malvina Ct
Naperville, IL 60564-4159
Phone: (512) 788-8077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699496349
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing address3503 Malvina Ct, Naperville, IL 60564-4159

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cardiac Surgery Associates Sc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Naperville