Active NPI
Jonathan Paige Kushner, MD
- Gastroenterology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35-081060
- Practice address
- 4340 Clyo Rd Ste 200
Dayton, OH 45459 - Phone
- (937) 534-7330
- Fax
- (937) 395-3682
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 74853 | TN | |
| Internal Medicine Physician | 207R00000X | 0101042378 | VA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101042378 | VA | |
| Gastroenterology Physician | 207RG0100X | 74853 | TN | |
| Gastroenterology Physician | 207RG0100X | 35-081060 | OH | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35-081060 | OH | |
| Gastroenterology Physician | 207RG0100X | MD0487446C | PA | |
| Gastroenterology Physician | 207RG0100X | 0101042378 | VA | |
| Internal Medicine Physician | 207R00000X | 74853 | TN | |
| Internal Medicine Physician | 207R00000X | 35-081060 | OH |
Addresses
Primary practice location
4340 Clyo Rd Ste 200
Dayton, OH 45459
Mailing address
4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone (937) 396-2602
Other practice location 1
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-6370
Other practice location 2
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1880
Other practice location 3
850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252
Phone (757) 599-6333
Other practice location 4
164 Greenview Dr
State College, PA 16803-2106
Phone (814) 278-4631
Other practice location 5
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-5260
Other practice location 6
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2333111 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | digestivespecialists@directaddress.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL, VA, PA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Greenview Dr
State College, PA 16803-2106
Phone (844) 278-4600
4340 Clyo Rd
Dayton, OH 45459-7000
Phone (937) 396-2602
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8960
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
- Kettering Health Main Campus
- Mount Nittany Medical Center
- Sentara Martha Jefferson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-081060 | OH | MD | Gastroenterology Physician |
| MD0487446C | PA | MD | Gastroenterology Physician |
| 74853 | TN | MD | Gastroenterology Physician |
| 0101042378 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Martha Jefferson Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Digestive Specialists Inc | Gastroenterology | Current | Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Internal Medicine | Current | Accepting new patients |
| University Internal Medicine Associates, Inc. | Internal Medicine | Past | Accepting new patients |
| Mount Nittany Medical Center Health Services Inc | Past | Accepting new patients | |
| Martha Jefferson Hospital | Past | Accepting new patients |
Locations
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602
77 W Eleanor Dr
Springboro, OH 45066
Phone (937) 913-2080
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321
164 Greenview Dr
Ste 445
State College, PA 16803
Phone (814) 278-4631
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
500 Martha Jefferson Dr
Ste 415C
Charlottesville, VA 22911
Phone (434) 654-8960
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
Interoperability endpoints
- jkushnermd418762@carlehiedirect.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Internal Medicine
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Gastroenterology Physician
- Dayton, OH
- NPI 1770556532
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
OH
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Internal Medicine
-
- Gastroenterology Physician
- Springboro, OH
- NPI 1215123302
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1588620850
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
-
- Pain Clinic/Center
- State College, PA
- NPI 1407035553
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- State College, PA
- NPI 1730173154
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780750620
Hospital
-
- Ambulatory Surgical Clinic/Center
- State College, PA
- NPI 1780752378
Hospital
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1295791226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 CLYO RD STE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454597000",
"telephone_number": "937-396-2602",
"fax_number": "937-395-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 CLYO RD STE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-534-7330",
"fax_number": "937-395-3682"
}
],
"practiceLocations": [
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-6370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117664",
"country_code": "US",
"telephone_number": "276-258-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Enterprise Pkwy Ste 2000",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236666252",
"country_code": "US",
"telephone_number": "757-599-6333",
"fax_number": "757-591-7261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "164 Greenview Dr",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168032106",
"country_code": "US",
"telephone_number": "814-278-4631",
"fax_number": "814-278-4685",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Martha Jefferson Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-5260",
"fax_number": "844-340-9731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSHNER",
"first_name": "JONATHAN",
"middle_name": "PAIGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "74853",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101042378",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101042378",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "74853",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35-081060",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35-081060",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD0487446C",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101042378",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "74853",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-081060",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2333111",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "digestivespecialists@directaddress.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4340 Clyo Rd Ste 200",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "45459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.