T N Kakish MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301067872 Issued in MI

Legal business name

T N KAKISH 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. Tariq Kakish, MDNPI 1780752543

Title

Owner Physician

Phone

(248) 399-5492

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Tariq Kakish, MD

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1780752543
  Medicare reassignment NPD Authorized official
• Norman Johnny Kakos, MD

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1477621241
  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": "1629146493",
    "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": "T N KAKISH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "KAKISH",
        "authorized_official_first_name": "TARIQ",
        "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": "4301067872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "110F338390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629146493",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG3482",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "110F338390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan A Szczepaniak, DO
• Julie Ann Szczepanski, LMSW/ACSW
• John J Szela, M.D.
• Fiona Sznewajs, DO
• Wendy May Szymczak, MD
• Margaret Samberg Tabet, MD
• Harry Tabor, M.D.
• Colleen R. Tafel, OTR, CHT
• Mohamed Ahmed Mokhtar Taha
• Mamon Tahhan, M.D

• 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.