JOHN S SACZAWA IV MD
NPI 1811744188
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 03, 2024PECOS Enrolled
720 ESKENAZI AVE BLDG F2-163, INDIANAPOLIS, IN 46202(317) 278-5835 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John S Saczawa Iv Md NPPES

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

JOHN S SACZAWA IV MD (NPI 1811744188) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811744188
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN S SACZAWA IVCredential: MD
Location Address720 ESKENAZI AVE BLDG F2-163Indianapolis, IN 46202-5187
Mailing Address720 Eskenazi Ave Bldg F2-163Indianapolis, IN 46202-5187
Sole ProprietorNo
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
NPI 1811744188 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.

720 ESKENAZI AVE BLDG F2-163, Indianapolis, IN 46202

Other Names 1

Professional Name (2)Jack Saczawa Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John S Saczawa Iv 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

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
720 ESKENAZI AVE BLDG F2-163
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811744188, enumerated as an "individual" on May 03, 2024.

The provider is located at 720 ESKENAZI AVE BLDG F2-163 INDIANAPOLIS, IN 46202 and the phone number is (317) 278-5835.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.