Organization Active NPI

Kakos Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Southgate, MI
National Provider Identifier
1891310553
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KAKOS PODIATRY PLLC
Practice address
15830 Fort St Ste 8
Southgate, MI 48195-1348
Phone
(734) 281-6320
Fax
(734) 281-2866
NPI assigned
Jun 9, 2020
Last updated
Sep 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Authorized official

Name
Fadee Kakos, DPMNPI 1598287914
Title
Owner
Phone
(313) 383-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

15830 Fort St Ste 8
Southgate, MI 48195-1348

Mailing address

14825 Southfield Rd
Allen Park, MI 48101-2642
Phone (313) 383-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200818002865 MI Part B Supplier - Clinic/Group Practice 9133545387 Receives reassigned benefits from 1 practitioner
Practice locations: Southgate, MI
O20210811002364 MI DME Supplier - Physician - Podiatry 9133545387 Practice locations: Southgate, MI

National Provider Directory

National Provider Directory

Locations

14825 Southfield Rd
Allen Park, MI 48101
Phone (313) 383-7071

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1891310553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012642",
            "telephone_number": "313-383-7071",
            "fax_number": "313-383-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 FORT ST STE 8",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951348",
            "telephone_number": "734-281-6320",
            "fax_number": "734-281-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKOS PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "KAKOS",
        "authorized_official_first_name": "FADEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-383-7071",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.