Individual provider Active NPI

Jonathan Bergendahl Lundy, M.D.

  • Surgery Physician
  • Fort Sam Houston, TX
National Provider Identifier
1841344678
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
054457 Issued in GA
Practice address
3698 Chambers Pass
Fort Sam Houston, TX 78234-7766
Phone
(210) 539-3219
NPI assigned
Jan 22, 2007
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 18872 ND
Surgery Physician 208600000X 054457 GA Primary

Addresses

Primary practice location

3698 Chambers Pass
Fort Sam Houston, TX 78234-7766

Mailing address

3698 Chambers Pass
Fort Sam Houston, TX 78234-7766
Phone (210) 539-3219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913003725 SD Practitioner - Hand SurgeryPractitioner - General Surgery 5597140418 Reassigns benefits to 1 organization
I20230315001441 TX Practitioner - General Surgery 5597140418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
East Tennessee State University Quillen College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Capital Surgeons Group, PLLCGroup PAC ID 8527039031, 14 clinicians

Practice addresses (Care Compare)

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

505 W Louis Henna Blvd
Suite 220
Austin, TX 78728-1703
Phone (512) 498-4860

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054457GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients
McAllen Hospitalist Group, PLLC Surgery CurrentSince Dec 6, 2022 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Southwest Bariatric Surgeons PLLC Surgery CurrentSince Mar 17, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Surgery of South Dakota PC CurrentSince Aug 1, 2022 Accepting new patients
Capital Surgeons Group, PLLC Surgery CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery Past Accepting new patients
Ascension Seton Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

3705 Medical Pkwy
Ste 210
Austin, TX 78705
Phone (512) 338-5024

3705 Medical Pkwy
Ste 250
Austin, TX 78705
Phone (512) 302-1210

505 W Louis Henna Blvd
Ste 220
Austin, TX 78728
Phone (512) 498-4860

5625 Eiger Rd
Ste 230
Austin, TX 78735
Phone (512) 441-7755

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.lundy.1@17862.direct.athenahealth.com
  • Direct secure messaging: jonathan.lundy.1@22422.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1841344678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 CHAMBERS PASS",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347766",
            "telephone_number": "210-539-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 CHAMBERS PASS",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347766",
            "telephone_number": "210-539-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JONATHAN",
        "middle_name": "BERGENDAHL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ND",
            "license": "18872",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "054457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.