Mongkol Mong, M.D.P.C.

Mongkol Mong, M.D.P.C. is a healthcare organization registered as Internal Medicine Physician in Southgate, MI, holding Type 2 (organization) NPI 1316079452 since 2007. The authorized official on file is Mongkol Mongkolpradit, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1316079452
Entity type	Organization (Type 2)
Legal business name	Mongkol Mong, M.D.P.C.
Practice address	15332 FORT ST, Southgate, MI, 48195
Phone	7342852255
Fax	7342859044
Enumeration date	2007-03-12
Last updated in NPPES	2020-08-22

Authorized official

Name	Mongkol Mongkolpradit
Title	President
Phone	7342852255

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207R00000X	Internal Medicine Physician	Primary	MM032063	MI

Other identifiers

Identifier	Type	State	Issuer
1421722	Medicaid	MI	—
0828033	Other	MI	BLUE CROSS BLUE SHIELD
MM032063	Other	MI	MEDICAL LICENSE

Copy-ready billing details

Provider: Mongkol Mong, M.D.P.C.
NPI: 1316079452
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 15332 FORT ST, Southgate, MI, 48195

Providers at this address

NPI	Name	Type	Specialty	Location
1366435075	Mongkol Mongkolpradit	Individual	Internal Medicine Physician	Southgate, MI

Verify this record

Cross-check NPI 1316079452 against the authoritative CMS record: view Mongkol Mong, M.D.P.C. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mongkol Mong, M.D.P.C. located?

The practice location on file with NPPES is in Southgate, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.