FADI ANTAKI (M.D.) – Gastroenterology Physician, NPI 1124127048

FADI ANTAKI (M.D.) is a healthcare provider. based in Marquette, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 228347 (MA). The NPI Number for FADI ANTAKI (M.D.) is 1124127048

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
FADI ANTAKI (M.D.)
NPI
1124127048
Phone
(906) 225-7188
Address
580 W COLLEGE AVE
Enumeration Date
21 September 2006
Last Update Date
26 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137458040
Graduation Year
1998 (28 years ago)
PAC ID
1658518816
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20180129001971
Address ID
MI482012018DE3990XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

648 GASTROENTEROLOGY in MI

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Provider Addresses for FADI ANTAKI (M.D.)

  • Marquette General Hospital, 580, West College Avenue, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498552736

    Phone: (906) 225-7188

    Fax: (906) 225-7783

    Type: Mailing

  • John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482011916

    Phone: (313) 576-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-10-29 • Largest payer in this snapshot: Gilead Sciences, Inc. ($18).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180129001971IGastroenterologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3636$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for FADI ANTAKI (M.D.)?
The registry entry for FADI ANTAKI (M.D.) shows NPI 1124127048.
Does the public listing show FADI ANTAKI (M.D.) as active?
FADI ANTAKI (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say FADI ANTAKI (M.D.) does?
Insurance directories may phrase it differently, but here FADI ANTAKI (M.D.) maps to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to FADI ANTAKI (M.D.)?
FADI ANTAKI (M.D.) shows a connection to Marquette, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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