MOHAMED TAKI (M.D.) – Allergy & Immunology Physician, NPI 1447604368
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
177 ALLERGY/IMMUNOLOGY in MI
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Provider Addresses for MOHAMED TAKI (M.D.)
University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States
MADISON, WI 537920001
Phone: (608) 263-8175
Type: Mailing
Children's Hospital of Michigan, 3901, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012119
Phone: (313) 745-1892
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,003.
Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($313).
Total Amount
$1,003
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,003
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $313 |
| GlaxoSmithKline, LLC. | $272 |
| PFIZER INC. | $203 |
| Genentech USA, Inc. | $132 |
| CSL Behring | $24 |
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: 2021-11-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211110001004 | I | Allergy/Immunology | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | IN |
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