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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
Phone(317) 278-5835
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

★ 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.

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

DR. PAUL DENNIS MINETOS MD, MBA
Student in an Organized Health Care Education/Training Program
720 ESKENAZI AVE BLDG F2-163
INDIANAPOLIS, IN 46202
Marion County (317) 278-5835

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 John Saczawa's NPI number?

The NPI number for John Saczawa is 1811744188. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is John Saczawa located?

John Saczawa practices at 720 Eskenazi Ave Bldg F2-163, Indianapolis, IN 46202. The listed phone number is (317) 278-5835.

What is John Saczawa's specialty?

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

Is John Saczawa enrolled in Medicare?

Yes. John Saczawa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Saczawa was last updated on May 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.