NPIMap

Individual provider Active NPI

Tariq Kakish, MD

  • Internal Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1780752543
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067872 Issued in MI
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
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301067872 MI Primary

Addresses

Primary practice location

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

Mailing address

32121 Woodward Ave
Suite 204
Royal Oak, MI 48073-6237
Phone (248) 399-5492

Other identifiers 4

IdentifierTypeStateIssuer
P00430910OtherMIMEDICARE RAILROAD
1106334211OtherMIBCBS BCN
P00600535OtherMIRAILROAD MEDICARE
4421922MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000383 MI Practitioner - Internal Medicine 6709778095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Care Solutions PCGroup PAC ID 3678903465, 23 clinicians

Practice addresses (Care Compare)

101 W Big Beaver Rd
Suite 1400
Troy, MI 48084-5295
Phone (586) 343-1022

32121 Woodward Ave
Suite 204
Royal Oak, MI 48073-0999
Phone (248) 399-5492

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067872MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Care Solutions P.C. Internal Medicine CurrentSince Apr 10, 2025 Accepting new patients
Norman J Kakos MD PC Internal Medicine CurrentSince Jan 15, 2007 Accepting new patients
T N Kakish MD PC Internal Medicine CurrentSince Nov 28, 2006 Accepting new patients

Locations

27901 Woodward Ave
Ste 220
Berkley, MI 48072
Phone (248) 399-5492

32121 Woodward Ave
Ste 2
Royal Oak, MI 48073
Phone (248) 399-5492

32121 Woodward Ave
Ste 204
Royal Oak, MI 48073
Phone (248) 399-5492

101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 687-1829

Organizations & group practices 3

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1780752543",
    "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": {
        "last_name": "KAKISH",
        "first_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00430910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "1106334211",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00600535",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4421922",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.