FADI ANTAKI M.D.
NPI 1124127048
Internal Medicine - Gastroenterology in Detroit, MI
About Fadi Antaki M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FADI ANTAKI M.D. (NPI 1124127048) is an individual gastroenterology provider in Detroit, Michigan, licensed in Michigan (4301075826) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Fadi Antaki M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Fadi Antaki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 731 clinicians in this Medicare group
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 440 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uphs Marquette Dlp Hospital
Acute Care Hospitals · Marquette, MIHarper University Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fadi Antaki's NPI number?
The NPI number for Fadi Antaki is 1124127048. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Fadi Antaki located?
Fadi Antaki practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.
What is Fadi Antaki's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Fadi Antaki enrolled in Medicare?
Yes. Fadi Antaki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Fadi Antaki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fadi Antaki reassigns Medicare benefits to 2 organizations: University Physician Group (Detroit, MI) and Dlp Marquette Physician Practices Inc (Escanaba, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fadi Antaki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fadi Antaki accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Fadi Antaki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Fadi Antaki affiliated with any hospitals?
According to CMS data, Fadi Antaki is affiliated with Uphs Marquette Dlp Hospital and Harper University Hospital.
When was this NPI record last updated?
The NPPES record for Fadi Antaki was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fadi Antaki, M.D. · NPI 1124127048
Gastroenterology physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1124127048 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 4301075826 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4646 JOHN R ST, Detroit, MI 48201-1916
- **Phone:** (313) 576-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Physician Group (NPI 1316987589, Detroit, MI); Dlp Marquette Physician Practices Inc (NPI 1538415021, Escanaba, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** January 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1124127048) · Data from the CMS NPPES public registry.