Individual provider Active NPI

Randall Colvin, MD

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1306133863
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301098835 Issued in MI
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

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2849652MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140707000591 MI Practitioner - Family PracticePractitioner - Emergency Medicine 8325263361 Reassigns benefits to 5 organizations

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
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

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 Home health agency, Detroit, MI, CCN 237087
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Family Medicine CurrentSince Jul 12, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Henry Ford Cornerstone Medical Group Family Medicine Current Accepting new patients
Hoover Urgent Care of Warren PLLC Family Medicine CurrentSince Jul 15, 2017 Accepting new patients
Roseville Urgent Care, PC Family Medicine CurrentSince Jul 15, 2017 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 1, 2017 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 CurrentSince Jul 1, 2017 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 12, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Feb 1, 2018 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

  • Direct secure messaging: rcolvin307766@direct.hfhs.org
  • FHIR API: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.