Jenny Stillwaggon Radesky, MD
NPI 1588857999ActiveIndividual· Pediatrics, Developmental - Behavioral Pediatrics· Ann Arbor, MI
Pediatrics, Developmental - Behavioral Pediatrics (MD) in Ann Arbor, Michigan, licensed in MI and MA, with an NPI issued in August 2007. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1588857999 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 20, 2007 |
| Last updated in NPPES | Dec 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | 4301108770 | MI |
| Pediatrics | 208000000X | 246596 | MA |
| Pediatrics | 208000000X | 4301108770 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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