JESSE BRIAN SWANTEK
NPI 1376289074
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 06, 2022PECOS Enrolled
TOLAN PARK MEDICAL BUILDING, 3901 WALTER P. CHRYSLER SERVICE DRIVE, DETROIT, MI 48201(313) 577-7523 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Brian Swantek NPPES

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

JESSE BRIAN SWANTEK (NPI 1376289074) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376289074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESSE BRIAN SWANTEK
Location AddressTOLAN PARK MEDICAL BUILDING, 3901 WALTER P. CHRYSLER SERVICE DRIVEDetroit, MI 48201
Mailing Address2114 Clawson AveRoyal Oak, MI 48073-3795 · (248) 217-0975
Sole ProprietorYes
Enumeration DateMay 6, 2022
NPPES CertifiedApril 20, 2022
NPI 1376289074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
TOLAN PARK MEDICAL BUILDING, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesse Brian Swantek 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.

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 Jesse Swantek's NPI number?

The NPI number for Jesse Swantek is 1376289074. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Jesse Swantek located?

Jesse Swantek practices at Tolan Park Medical Building 3901 Walter P. Chrysler Service Drive, Detroit, MI 48201. The listed phone number is (313) 577-7523.

What is Jesse Swantek's specialty?

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

Is Jesse Swantek enrolled in Medicare?

Yes. Jesse Swantek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Swantek was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.