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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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.

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