Individual provider Active NPI

Jonathan Paige Kushner, MD

  • Gastroenterology Physician
  • Dayton, OH
National Provider Identifier
1295791226
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-081060 Issued in OH
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

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2333111MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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, TN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20051117000515 OH Practitioner - GastroenterologyPractitioner - Endocrinology 9931128006 Reassigns benefits to 2 organizations
I20240807001936 IL Practitioner - Internal Medicine 9931128006 Reassigns benefits to 1 organization
I20240828001475 VA Practitioner - Gastroenterology 9931128006 Reassigns benefits to 2 organizations
I20250213000157 PA Practitioner - Gastroenterology 9931128006 Reassigns benefits to 1 organization
I20251022005092 TN Practitioner - Gastroenterology 9931128006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Specialists IncGroup PAC ID 2062300809, 25 clinicians
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-081060OHMDGastroenterology Physician
MD0487446CPAMDGastroenterology Physician
74853TNMDGastroenterology Physician
0101042378VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Oct 1, 2025 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Jul 25, 2024 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Martha Jefferson Medical Group LLC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Digestive Specialists Inc Gastroenterology CurrentSince Mar 5, 2018 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jun 21, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc Internal Medicine CurrentSince Mar 1, 2025 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 PastSince Apr 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1295791226",
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            "fax_number": "937-395-3682"
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            "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",
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            "telephone_number": "423-787-6370",
            "country_name": "United States",
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        {
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            "postal_code": "242117664",
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            "telephone_number": "276-258-1880",
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        },
        {
            "address_1": "850 Enterprise Pkwy Ste 2000",
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            "fax_number": "757-591-7261",
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            "fax_number": "814-278-4685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
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            "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",
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            "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": "",
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            "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
        },
        {
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            "taxonomy_group": "",
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            "license": "0101042378",
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        },
        {
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            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "74853",
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        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
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    ],
    "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

Verify at the official NPI Registry.