Ryan Matthew Ouillette, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

4301111844 Issued in MI

Practice address

602 Beech St Ste 1200
Clare, MI 48617-1469

Phone

(989) 802-5080

Fax

(989) 802-5090

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Wayne State University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Mymichigan Medical Center ClareGroup PAC ID 7012829773, shared by 9 NPIs, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Odessa, FL, CCN 108428
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Odessa, FL
  • NPI 1750752291
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Alma

  • Emergency Medicine Physician
  • Alma, MI
  • NPI 1568914422
  Medicare reassignment Care Compare group
• Mymichigan Medical Center Clare

  • General Practice Physician
  • Clare, MI
  • NPI 1134394026
  Medicare reassignment
• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery Physician
  • Wesley Chapel, FL
  • NPI 1003672700

  Sports Medicine

  NPD

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

• Horizon Home Care LLC

  • Home Health Agency
  • Odessa, FL
  • NPI 1801098066
  Care Compare affiliation
• Pasco-Pinellas Hillsborough Community Health System Inc

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020
  Care Compare affiliation

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1750643235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEECH ST STE 1200",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171469",
            "telephone_number": "989-802-5080",
            "fax_number": "989-802-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23550 PARK ST",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242592",
            "country_code": "US",
            "telephone_number": "313-730-0500",
            "fax_number": "313-730-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36475 Five Mile Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "313-730-0500",
            "fax_number": "313-730-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUILLETTE",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301111844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BUREAU OF PROFESSIONAL LICENSING",
            "identifier": "4301111844",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trung Quoc Nguyen, DO
• Juliette Leilani Nielsen, LMSW
• Erik Nimbley, MD
• Martin Nucullaj, PHARMD
• Austyn Kay Otten, NP
• Shelia Parker
• Shirley A Perhase
• Perry J Burke DMD PLLC
• Hillary Lynn Phillips, MA, LPC
• Pioneer Golden Estates

• Sports Medicine (Orthopaedic Surgery) Physician in Clare, MI
• Providers in Clare, MI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.