NOAH A SKANTZ DO
NPI 1679216063
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI

Active since April 14, 2022PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Noah A Skantz Do NPPES

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

NOAH A SKANTZ DO (NPI 1679216063) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679216063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOAH A SKANTZCredential: DO
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1679216063 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.
1000 HARRINGTON ST, Mount Clemens, MI 48043

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Noah A Skantz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577064062
PECOS Enrollment IDI20250827002827
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043

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 Noah Skantz's NPI number?

The NPI number for Noah Skantz is 1679216063. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Noah Skantz located?

Noah Skantz practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Noah Skantz's specialty?

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

Is Noah Skantz enrolled in Medicare?

Yes. Noah Skantz is registered in the Medicare PECOS enrollment system.

Is Noah Skantz affiliated with any hospitals?

According to CMS data, Noah Skantz is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Noah Skantz was last updated on April 14, 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.