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JACK PHILLIP TOMEN M.D.
NPI 1972164796
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 24, 2019PECOS Enrolled
SINAI - GRACE HOSPITAL, 6071 OUTER DRIVE W, DEPARTMENT OF MEDICINE - 4 MAIN, DETROIT, MI 48235(313) 966-1003(313) 966-1738 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Phillip Tomen M.d. NPPES

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

JACK PHILLIP TOMEN M.D. (NPI 1972164796) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972164796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK PHILLIP TOMENCredential: M.D.
Location AddressSINAI - GRACE HOSPITAL, 6071 OUTER DRIVE W, DEPARTMENT OF MEDICINE - 4 MAINDetroit, MI 48235
Mailing Address4-1287 Kildare Rd.Winsor, ON N8Y3H7
Phone(313) 966-1003
Fax(313) 966-1738
Sole ProprietorNo
Enumeration DateJune 24, 2019
✔ NPI 1972164796 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.
SINAI - GRACE HOSPITAL, 6071 OUTER DRIVE W, Detroit, MI 48235
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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)

Jack Phillip Tomen 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.

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 Jack Tomen's NPI number?

The NPI number for Jack Tomen is 1972164796. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Jack Tomen located?

Jack Tomen practices at Sinai - Grace Hospital, 6071 Outer Drive W Department Of Medicine - 4 Main, Detroit, MI 48235. The listed phone number is (313) 966-1003.

What is Jack Tomen's specialty?

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

Is Jack Tomen enrolled in Medicare?

Yes. Jack Tomen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Tomen was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.