Individual provider Active NPI

Jaroslaw Sawka, D.O.

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1750373478
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101006651 Issued in MI
Practice address
3040 E 7 Mile Rd
Detroit, MI 48234-1662
Phone
(313) 368-0705
Fax
(313) 368-0727
NPI assigned
Aug 18, 2005
Last updated
Jan 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101006651 MI Primary

Addresses

Primary practice location

3040 E 7 Mile Rd
Detroit, MI 48234-1662

Mailing address

27774 Franklin Rd
Southfield, MI 48034-2352
Phone (248) 356-5555

Other identifiers 1

IdentifierTypeStateIssuer
4540191-11MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000089 MI Practitioner - Family Practice 8820997844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Family Health Care PCGroup PAC ID 9638077621, 20 clinicians

Practice addresses (Care Compare)

2255 Fort St
Lincoln Park, MI 48146-2671
Phone (313) 386-7500

27774 Franklin Rd
Southfield, MI 48034-2352

2820 Crooks Rd
Suite 400
Rochester Hills, MI 48309-3673

3040 E 7 Mile Rd
Detroit, MI 48234-1662
Phone (313) 368-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients

Locations

7633 E Jefferson Ave
Ste 160
Detroit, MI 48214
Phone (313) 331-2727

20333 Conant St
Detroit, MI 48234
Phone (248) 953-6377

12871 E Jefferson Ave
Detroit, MI 48215
Phone (313) 331-8484

3040 E 7 Mile Rd
Detroit, MI 48234
Phone (313) 368-0705

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

28212 Franklin Rd
Southfield, MI 48034

27774 Franklin Rd
Southfield, MI 48034
Phone (248) 356-5555

Interoperability endpoints

  • Direct secure messaging: jaroslaw.sawka.1@5088.direct.athenahealth.com
  • Direct secure messaging: jsawka1150327@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1750373478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27774 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342352",
            "telephone_number": "248-356-5555",
            "fax_number": "248-356-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341662",
            "telephone_number": "313-368-0705",
            "fax_number": "313-368-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWKA",
        "first_name": "JAROSLAW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101006651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4540191-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.