Active NPI
Randall Colvin, MD
- Family Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301098835
- Practice address
- 11270 E 13 Mile Rd Ste 4
Warren, MI 48093-2599 - Phone
- (586) 574-0630
- Fax
- (586) 571-1183
- NPI assigned
- Jul 6, 2011
- 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 | 4301098835 | MI | Primary |
Addresses
Primary practice location
11270 E 13 Mile Rd Ste 4
Warren, MI 48093-2599
Mailing address
70067 Sunny Brook LN
Richmond, MI 48062-5561
Phone (248) 548-9860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2849652 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11270 E 13 Mile Rd
Suite 4
Warren, MI 48093-2599
Phone (586) 574-0630
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Health St John Hospital
- Henry Ford Health Warren Hospital
- Beaumont Hospital Royal Oak
- Henry Ford Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Family Medicine | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Family Medicine | Current | Accepting new patients |
| Henry Ford Cornerstone Medical Group | Family Medicine | Current | Accepting new patients |
| Hoover Urgent Care of Warren PLLC | Family Medicine | Current | Accepting new patients |
| Roseville Urgent Care, PC | Family Medicine | Current | Accepting new patients |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Seton Health Corporation of Southeastern Michigan | Family Medicine | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients |
Locations
42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
27483 Dequindre Rd
Ste 303
Madison Heights, MI 48071
Phone (248) 548-9860
27483 Dequindre Rd
Ste 102
Madison Heights, MI 48071
Phone (248) 963-3555
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070
74 S Elk St
Sandusky, MI 48471
Phone (810) 487-4676
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
44720 Van Dyke Ave
#G
Utica, MI 48317
Phone (586) 323-7148
11270 E 13 Mile Rd
Ste 4
Warren, MI 48093
Phone (586) 574-0630
26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707
26000 Hoover Rd
Ste 100
Warren, MI 48089
Phone (586) 722-0707
Interoperability endpoints
- rcolvin307766@direct.hfhs.org
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Organizations & group practices 11
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.
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Nurse Practitioner
- Warren, MI
- NPI 1578696092
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
Family Medicine
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1598177065
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Family Medicine Physician
- Madison Heights, MI
- NPI 1720390453
-
- Multi-Specialty Clinic/Center
- Detroit, MI
- NPI 1457663197
Family Medicine
-
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1487067260
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1306133863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70067 SUNNY BROOK LN",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480625561",
"telephone_number": "248-548-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11270 E 13 MILE RD STE 4",
"city": "WARREN",
"state": "MI",
"postal_code": "480932599",
"telephone_number": "586-574-0630",
"fax_number": "586-571-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301098835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2849652",
"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 Mar 12, 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.