Individual provider Active NPI

Mones Takriti, M.D.

  • Gastroenterology Physician
  • Pontiac, MI
National Provider Identifier
1861493348
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301047745 Issued in MI
Practice address
44555 Woodward Ave
Suite Number 304
Pontiac, MI 48341-5031
Phone
(248) 858-3878
Fax
(248) 209-6777
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301047745 MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Suite Number 304
Pontiac, MI 48341-5031

Mailing address

44555 Woodward Ave
Suite Number 304
Pontiac, MI 48341-5031
Phone (248) 858-3878

Other identifiers 2

IdentifierTypeStateIssuer
P40816OtherMIBLUE CARE NETWORK
4590700MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000099 MI Practitioner - Gastroenterology 7214079011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301047745MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Digestive Disease,PLLC CurrentSince Aug 17, 2011 Accepting new patients
Digestive Disease Consultants, PC Gastroenterology CurrentSince Mar 11, 2000 Accepting new patients

Locations

44555 Woodward Ave
Ste 304
Pontiac, MI 48341
Phone (248) 858-3878

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2ed1c574-c5ac-427e-a2ed-e9f8b5471f70/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mtakriti783258@direct.hfhs.org
  • Direct secure messaging: mones.takriti.p1@direct.ddcpontiac.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861493348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE NUMBER 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 NUMBER 304",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-3878",
            "fax_number": "248-209-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKRITI",
        "first_name": "MONES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301047745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P40816",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4590700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.