Individual provider Active NPI

Felicia Jade Drouillard, MD

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1083103600
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301506354 Issued in MI
Practice address
22201 Moross Rd Ste 370
Detroit, MI 48236
Phone
(313) 343-4585
Fax
(313) 343-7126
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301114489 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301114489 MI
Obstetrics & Gynecology Physician 207V00000X 4301506354 MI Primary

Addresses

Primary practice location

22201 Moross Rd Ste 370
Detroit, MI 48236

Mailing address

22201 Moross Rd Ste 370
Detroit, MI 48236-2176
Phone (313) 343-4585

Other identifiers 1

IdentifierTypeStateIssuer
205556884MedicaidMI

Other names 1

  • Felicia Jade Flowers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214000633 MI Practitioner - Obstetrics/Gynecology 9234494303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northpointe OB-GYN PCGroup PAC ID 6204921257, 4 clinicians

Practice addresses (Care Compare)

1206 Washington Ave
Port Huron, MI 48060-3555
Phone (810) 984-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Port Huron Current Accepting new patients
Northpointe OB-GYN PC Obstetrics & Gynecology CurrentSince Nov 16, 2022 Accepting new patients
Blue Water OB & GYN PC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
McLaren Port Huron CurrentSince Jan 1, 2025 Accepting new patients
McLaren Port Huron Past Accepting new patients

Locations

1206 Washington Ave
Port Huron, MI 48060
Phone (810) 984-3100

1313 Stone St
Port Huron, MI 48060
Phone (810) 984-3181

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1083103600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 370",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362176",
            "telephone_number": "313-343-4585",
            "fax_number": "313-343-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 370",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-343-4585",
            "fax_number": "313-343-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROUILLARD",
        "first_name": "FELICIA",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301114489",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301114489",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301506354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205556884",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "FLOWERS",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.