JACK KOUEIK MD
NPI 1083285860
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Jack Koueik's NPI number?

The NPI number for Jack Koueik is 1083285860. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Q: What is Jack Koueik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Koueik was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2021PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2024, Aug 19, 2021, Jul 2, 2021 (3 updates tracked since 2021).

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About Jack Koueik Md NPPES

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

JACK KOUEIK MD (NPI 1083285860) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083285860

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACK KOUEIKCredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address749 University Row Ste 200 Uw Health GmeMadison, WI 53705

Phone(608) 263-6400

Sole ProprietorNo

Enumeration DateJuly 2, 2021

Last NPPES UpdateMay 13, 20243 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1083285860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 83909 (WI)

600 HIGHLAND AVE, Madison, WI 53792

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Koueik 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.

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