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Dr. Jonathan Young Ji, M.D.

Neurology Physician in South Bend, IN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477603504

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Registry record

Entity type Individual (Type 1)
Name Dr. Jonathan Young Ji
Credential M.D.
Sex Male
Practice address 615 N Michigan St Fl 1, South Bend, IN, 46601
Phone (574) 647-1610
Enumeration date Jan 11, 2007
Last updated in NPPES Dec 17, 2024

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 77177 (WI) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 036162049 (IL) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 21273 (WI) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 01064532A (IN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
100181475 Medicaid WI -
201315870 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jonathan Ji?
The National Provider Identifier (NPI) for Jonathan Ji is 1477603504, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jonathan Ji practice?
The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-17.