Individual provider Active NPI

Cassius M Drake, MD

  • Emergency Medicine Physician
  • Franklin, MI
National Provider Identifier
1770511719
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
069972 Issued in MI
Practice address
30600 Forest Dr
Franklin, MI 48025-2305
Phone
(248) 990-3674
NPI assigned
Jun 29, 2006
Last updated
Jun 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 069972 MI Primary

Addresses

Primary practice location

30600 Forest Dr
Franklin, MI 48025-2305

Mailing address

30600 Forest Dr
Franklin, MI 48025-2305
Phone (248) 990-3674

Other practice location 1

2333 Biddle St
Wyandotte, MI 48192-4668
Phone (313) 284-9400

Other identifiers 3

IdentifierTypeStateIssuer
4810401MedicaidMI
4842209MedicaidMI
CD069972OtherMIBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000385 MI Practitioner - Emergency Medicine 7012938368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069972MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Michigan PC CurrentSince Feb 13, 2026 Accepting new patients
American Current Care of Michigan PC CurrentSince Feb 13, 2026 Accepting new patients

Locations

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

26185 Greenfield Rd
Southfield, MI 48076
Phone (248) 563-2040

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1770511719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 FOREST DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480252305",
            "telephone_number": "248-990-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 FOREST DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480252305",
            "telephone_number": "248-990-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Biddle St",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481924668",
            "country_code": "US",
            "telephone_number": "313-284-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CASSIUS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "069972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4810401",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4842209",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "CD069972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MI

Sources for this page

Verify at the official NPI Registry.