Digestive Disease Consultants, PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DIGESTIVE DISEASE CONSULTANTS, PC

Practice address

44555 Woodward Ave
Suite 304
Pontiac, MI 48341-5031

Phone

(248) 858-3878

Fax

(248) 209-6777

NPI assigned

Jan 16, 2007

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Metheny, RN

Title

Office Manager

Phone

(248) 858-3878

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2ed1c574-c5ac-427e-a2ed-e9f8b5471f70/

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Hunter, NP

  • Family Nurse Practitioner
  • Pontiac, MI
  • NPI 1326648973
  Medicare reassignment NPD
• Brian Jeffrey Markle, M.D.

  • Gastroenterology Physician
  • Pontiac, MI
  • NPI 1386848752

  Specialist

  Medicare reassignment NPD
• Mones Takriti, M.D.

  • Gastroenterology Physician
  • Pontiac, MI
  • NPI 1861493348
  Medicare reassignment NPD
• Jamil Akhras, M.D.

  • Legal Medicine
  • Pontiac, MI
  • NPI 1508867094
  NPD (past)
• Oussama Al Sawas, M.D.

  • Gastroenterology Physician
  • Wyandotte, MI
  • NPI 1225151194
  NPD (past)
• Elliott Fraiberg, M.D.

  • Legal Medicine
  • Pontiac, MI
  • NPI 1134120629
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1124179924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 304",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-3878",
            "fax_number": "248-209-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 304",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-3878",
            "fax_number": "248-209-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-858-3878",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "100F316670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin John Diaczok I, MD
• Dial a Doc Physicians PC
• Laura Diaz
• Rebecca Dickinson, LMSW
• Megan Dietrich, PA
• Melissa Digrazia
• Jody Kay Dimaria, OTL
• Brooklynn Samantha Dimit-Helzer, MS, LPC, ATR, CAS
• Dimitrios Apostolou MD PC
• Brianna Dinkins

• Gastroenterology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.