Norman J Kakos MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301068130 Issued in MI

Legal business name

NORMAN J KAKOS MD PC

Practice address

32121 Woodward Ave
Suite 204
Royal Oak, MI 48073-6237

Phone

(248) 399-5492

Fax

(248) 399-5792

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Norman Johnny Kakos, MDNPI 1477621241

Title

Owner Physician

Phone

(248) 399-5492

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Johnny Kakos, MD

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1477621241
  Medicare reassignment NPD Authorized official
• Tariq Kakish, MD

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1780752543
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1609944487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE",
            "address_2": "SUITE 204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736237",
            "telephone_number": "248-399-5492",
            "fax_number": "248-399-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE",
            "address_2": "SUITE 204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736237",
            "telephone_number": "248-399-5492",
            "fax_number": "248-399-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN J KAKOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "KAKOS",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER  PHYSICIAN",
        "authorized_official_telephone_number": "248-399-5492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110F338430",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "1106334721",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4422877",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Anstett Nolan, M.D.
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• Sahir Noorani, M.D.
• Jill Norander
• Shawni Joelle Norfleet
• North Oaks Dental PLLC
• North Shore Injury Center, Inc.
• Franklin Norton, DC
• Samir Noujaim
• Andre Noumi

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.