Individual provider Active NPI

Andre Z Oulai, MD

  • Orthopaedic Surgery Physician
  • Bay City, MI
National Provider Identifier
1174657910
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301071554 Issued in MI
Practice address
4 Columbus Ave Ste 160
Bay City, MI 48708-6478
Phone
(989) 377-4477
Fax
(989) 894-6181
NPI assigned
Mar 15, 2007
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01055991A IN
Orthopaedic Surgery Physician 207X00000X 4301071554 MI Primary

Addresses

Primary practice location

4 Columbus Ave Ste 160
Bay City, MI 48708-6478

Mailing address

4 Columbus Ave Ste 160
Bay City, MI 48708-6478
Phone (989) 377-4477

Other practice location 1

710 North Avenue
Battle Creek, MI 49017-3258
Phone (269) 969-6251

Other identifiers 1

IdentifierTypeStateIssuer
200371990MedicaidIN

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
I20101028001482 MI Practitioner - Orthopedic Surgery 5395841399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Ohio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portage Physician Practices IncGroup PAC ID 6103053509, 56 clinicians

Practice addresses (Care Compare)

500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055991AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Caro Region CurrentSince May 1, 2019 Accepting new patients
Portage Physician Practices Inc CurrentSince Oct 29, 2022 Accepting new patients
Portage Physician Practices Inc Orthopaedic Surgery CurrentSince Oct 29, 2022 Accepting new patients
McLaren Caro Region CurrentSince May 1, 2019 Accepting new patients
Healthpartners Medical Group, LLC Past Accepting new patients

Locations

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

Interoperability endpoints

  • Direct secure messaging: andre.oulai.1@8233.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1174657910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 160",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086478",
            "telephone_number": "989-377-4477",
            "fax_number": "989-894-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 160",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086478",
            "telephone_number": "989-377-4477",
            "fax_number": "989-894-6181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 North Avenue",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173258",
            "country_code": "US",
            "telephone_number": "269-969-6251",
            "fax_number": "269-969-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OULAI",
        "first_name": "ANDRE",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01055991A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301071554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.