ANDY JAN MD
NPI 1851032163
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Andy Jan's NPI number?

The NPI number for Andy Jan is 1851032163. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Andy Jan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andy Jan was last updated on April 2, 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.

Active since April 02, 2022PECOS Enrolled

1 FORD PL # 1C-09, DETROIT, MI 48202(313) 874-6611 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andy Jan Md NPPES

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

ANDY JAN MD (NPI 1851032163) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851032163

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDY JANCredential: MD

Location Address1 FORD PL # 1C-09Detroit, MI 48202-3450

Mailing Address1 Ford Pl # 1c-09Detroit, MI 48202-3450 · (313) 874-6611

Phone(313) 874-6611

Sole ProprietorNo

Enumeration DateApril 2, 2022

NPPES CertifiedApril 2, 2022

✔ NPI 1851032163 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.

1 FORD PL # 1C-09, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andy Jan 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.

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 Andy Jan's NPI number?

The NPI number for Andy Jan is 1851032163. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Andy Jan located?

Andy Jan practices at 1 Ford Pl # 1c-09, Detroit, MI 48202. The listed phone number is (313) 874-6611.

What is Andy Jan's specialty?

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

Is Andy Jan enrolled in Medicare?

Yes. Andy Jan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andy Jan was last updated on April 2, 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.