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MAREK JANUSZ GRZESZCZAK M.D.
NPI 1659455053
Pediatrics - Pediatric Critical Care Medicine in Jackson, TN

Active since October 24, 2006PECOS Enrolled
708 W FOREST AVE, JACKSON, TN 38301(731) 660-8759(731) 660-8739 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marek Janusz Grzeszczak M.d. NPPES

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

MAREK JANUSZ GRZESZCZAK M.D. (NPI 1659455053) is an individual pediatric critical care medicine provider in Jackson, Tennessee, licensed in Tennessee (31435) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659455053
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameMAREK JANUSZ GRZESZCZAKCredential: M.D.
Location Address708 W FOREST AVEJackson, TN 38301-3901
Mailing Address1804 Highway 45 Byp, Suite 604Jackson, TN 38305-4436 · (731) 660-8759 · Fax (731) 660-8739
Phone(731) 660-8759
Fax(731) 660-8739
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659455053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in TN · 31435
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
708 W FOREST AVE, Jackson, TN 38301
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Other Identifiers 1

Medicare ID-Type Unspecified3280146TN · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marek Janusz Grzeszczak M.d. 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.

JOHN HAYES MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8755
DR. DONALD CHARLES CORRELL MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 425-6280
ONCOLOGY CONSULTANTS PC
Specialist
708 W FOREST AVE, RADIATION ONCOLOGY DEPT
JACKSON, TN 38301
Madison County (731) 425-6250
JIM C CRAIG JR. M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
JERRY PETERS MD
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
WILLIAM L. MCGUIRE M.D.
Emergency Medicine
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 660-8759
MOLLY F. WRIGHT CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 927-7070
ARLENE G WILSON CRNA
Nurse Anesthetist, Certified Registered
708 W FOREST AVE
JACKSON, TN 38301
Madison County (731) 668-1853

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 Marek Grzeszczak's NPI number?

The NPI number for Marek Grzeszczak is 1659455053. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Marek Grzeszczak located?

Marek Grzeszczak practices at 708 W Forest Ave, Jackson, TN 38301. The listed phone number is (731) 660-8759.

What is Marek Grzeszczak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Marek Grzeszczak enrolled in Medicare?

Yes. Marek Grzeszczak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marek Grzeszczak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.