DR. JONATHAN DEWALD M.D. NPI 1366829293

NPI Information

  • NPI: 1366829293
  • Provider Name: DR. JONATHAN DEWALD, M.D.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 736 CAMBRIDGE ST
    BRIGHTON, MA
    ZIP 02135
  • Phone: (617) 789-2545

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NPI Details

DR. Jonathan Dewald, M.D. is a student in an organized health care education training program in Brighton, MA with 11 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jonathan Dewald, M.D. NPI is 1366829293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

736 CAMBRIDGE ST
BRIGHTON, MA
ZIP 02135
Phone: (617) 789-2545

The NPI 1366829293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 4/29/2015 and was last updated on 1/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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