Active NPI
Randy Scott Kay
- Family Medicine Physician
- Dearborn Heights, MI
National Provider Identifier
1023059599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RK009873
- Practice address
- 24748 W Warren St
Dearborn Heights, MI 48127-2109 - Phone
- (313) 278-1820
- Fax
- (313) 278-8281
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RK009873 | MI | Primary |
Addresses
Primary practice location
24748 W Warren St
Dearborn Heights, MI 48127-2109
Mailing address
24748 W Warren St
Dearborn Heights, MI 48127-2109
Phone (313) 278-1820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158204284 | Other | MI | BCBS OF MICH |
| 4474096 | Medicaid | MI | |
| 080H211350 | Other | MA | BLUECARE NETWORK SE MICH |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RK009873 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quad Health Solutions PC | Family Medicine | Current | Accepting new patients |
Locations
24748 W Warren St
Dearborn Hts, MI 48127
Phone (313) 278-1820
Organizations & group practices 1
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.
-
dba Michigan Family Physicians, a division of Quad Helath Soultions, PC
- Family Medicine Physician
- Westland, MI
- NPI 1003462516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1023059599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24748 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272109",
"telephone_number": "313-278-1820",
"fax_number": "313-278-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24748 W WARREN ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272109",
"telephone_number": "313-278-1820",
"fax_number": "313-278-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "RANDY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "RK009873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICH",
"identifier": "0158204284",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4474096",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE NETWORK SE MICH",
"identifier": "080H211350",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.