Fadi Antaki, MD - Medicare Gastroenterology in Detroit, MI

Fadi Antaki, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Detroit, Michigan. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Dlp Marquette Physician Practices Inc, University Physician Group and his current practice location is 4646 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 576-1000.

Fadi Antaki is licensed to practice in Michigan (license number 4301075826) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124127048.

Contact Information

Fadi Antaki, MD
4646 John R St,
Detroit, MI 48201-1916
(313) 576-1000
Not Available

Map and Direction




Physician's Profile

Full NameFadi Antaki
GenderMale
SpecialityGastroenterology
Experience26 Years
Location4646 John R St, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fadi Antaki graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1124127048
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 01/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658518816
  • Enrollment ID: I20180129001971

Medical Identifiers

Medical identifiers for Fadi Antaki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124127048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 228347 (Massachusetts)Secondary
207RG0100XInternal Medicine - Gastroenterology 4301075826 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marquette General HospitalMarquette, MIHospital
Harper University HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dlp Marquette Physician Practices Inc9931359601149
University Physician Group8628087681345

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fadi Antaki allows following entities to bill medicare on his behalf.
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518
Entity NameDlp Marquette Physician Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487902995
PECOS PAC ID: 9931359601
Enrollment ID: O20121016000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fadi Antaki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fadi Antaki, MD
580 W College Ave,
Marquette, MI 49855-2736

Ph: (906) 225-7188
Fadi Antaki, MD
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000

Reviews and Comments


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Phone: 800-653-6568    Fax: 313-876-1305

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.