SEBASTIAN PAZ KITSCHKE MD
NPI 1407601636
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Sebastian Paz Kitschke's NPI number?

The NPI number for Sebastian Paz Kitschke is 1407601636. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Sebastian Paz Kitschke's specialty?

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

Active since April 22, 2024PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(248) 444-2128 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sebastian Paz Kitschke Md NPPES

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

SEBASTIAN PAZ KITSCHKE MD (NPI 1407601636) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407601636

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSEBASTIAN PAZ KITSCHKECredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address523 Uphill RdMilford, MI 48381-2556 · (248) 444-2128

Phone(248) 444-2128

Sole ProprietorNo

Enumeration DateApril 22, 2024

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1407601636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2799 W GRAND BLVD, Detroit, MI 48202

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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)

Sebastian Paz Kitschke 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.

HENRY FORD HOSPITAL

General Acute Care Hospital