Individual provider Active NPI

Jonathan Martin Lenich, PA-C

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1346968914
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085009349 Issued in IL
Practice address
55 Shuman Blvd Ste 700
Naperville, IL 60563-8422
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085009349 IL Primary

Addresses

Primary practice location

55 Shuman Blvd Ste 700
Naperville, IL 60563-8422

Mailing address

55 Shuman Blvd Ste 700
Naperville, IL 60563-8422
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114002998 IL Practitioner - Physician Assistant 6002284510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of Ny Upstate Medical University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

1625 N Harlem Ave
Suite 2600
Chicago, IL 60707-4303
Phone (887) 632-6637

2450 Wolf Rd
Suite E
Westchester, IL 60154-5643
Phone (877) 632-6637

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

963 N 129TH Infantry Dr
Joliet, IL 60435-3104
Phone (877) 632-6637

Hospital & facility affiliations

  • Loyal Home Health Home health agency, Hoffman Estates, IL, CCN 148150
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085009349ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopaedics at Rush, LLC CurrentSince Oct 3, 2022 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Oct 3, 2022 Accepting new patients
Orthomidwest, PLLC Physician Assistant CurrentSince Oct 29, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Oct 29, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

963 N 129th Infantry Dr
Ste 130
Joliet, IL 60435
Phone (815) 744-1812

55 Shuman Blvd
Ste 700
Naperville, IL 60563
Phone (630) 339-2225

2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: jonathan.lenich.1@12576.direct.athenahealth.com

Organizations & group practices 5

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 2

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.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1346968914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SHUMAN BLVD STE 700",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638422",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHUMAN BLVD STE 700",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638422",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENICH",
        "first_name": "JONATHAN",
        "middle_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.