NICHOLAS JONAS (MD) – Student in an Organized Health Care Education/Training Program, NPI 1730679416
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,619 GENERAL SURGERY in NY
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Provider Addresses for NICHOLAS JONAS (MD)
81 BROADWAY APT 9
CHELSEA, MA 021502667
Phone: (763) 370-7749
Type: Mailing
East Main Street, Flushing, Genesee County, Michigan, 48433, United States
FLUSHING, NY 113555045
Phone: (718) 670-2000
Type: Location
2250 HAYES ST
NORTH BEND, OR 974591775
Phone: (763) 370-7749
Type: Mailing
940 E 5TH ST
COQUILLE, OR 974231699
Phone: (541) 396-3101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,304.
Total Amount is formed as General ($2,304) + Research ($0) + Ownership ($0) = $2,304.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Enterra Medical, Inc. ($1,095).
Total Amount
$2,304
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Enterra Medical, Inc. | $1,095 |
| Shockwave Medical, Inc | $556 |
| Endologix LLC | $179 |
| W. L. Gore & Associates, Inc. | $173 |
| Baxter Healthcare | $164 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250731001735 | I | General Surgery | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Diagnostic Radiology | PR | |
| - | OR | |
| Family Practice, Osteopathic Manipulative Medicine | OR | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology, Nuclear Medicine, Diagnostic Radiology | WA | |
| Family Practice | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Diagnostic Radiology | NV |
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