Active NPI
Andre Louis Rowlett, MD
- General Practice Physician
- Warren, MI
National Provider Identifier
1487609038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301046450
- Practice address
- 11477 East 12 Mile Road
Warren, MI 48093-2678 - Phone
- (586) 751-0200
- Fax
- (586) 751-0414
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301046450 | MI | Primary |
Addresses
Primary practice location
11477 East 12 Mile Road
Warren, MI 48093-2678
Mailing address
11477 East 12 Mile Road
Warren, MI 48093-2678
Phone (586) 751-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4486847 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487609038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11477 EAST 12 MILE ROAD",
"city": "WARREN",
"state": "MI",
"postal_code": "480932678",
"telephone_number": "586-751-0200",
"fax_number": "586-751-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11477 EAST 12 MILE ROAD",
"city": "WARREN",
"state": "MI",
"postal_code": "480932678",
"telephone_number": "586-751-0200",
"fax_number": "586-751-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLETT",
"first_name": "ANDRE",
"middle_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301046450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4486847",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.