IAN SEBASTIAN WOOD MD
NPI 1053938043
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 25, 2020PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-3056 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Sebastian Wood Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN SEBASTIAN WOOD MD (NPI 1053938043) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351046793) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053938043
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIAN SEBASTIAN WOODCredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-3056
Sole ProprietorNo
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1053938043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351046793
Definition
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.
2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Sebastian Wood Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Wood's NPI number?

The NPI number for Ian Wood is 1053938043. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Ian Wood located?

Ian Wood practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-3056.

What is Ian Wood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ian Wood enrolled in Medicare?

Yes. Ian Wood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Wood was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.