Active NPI
Randy C Stapish, PA-C
- Physician Assistant
- Dearborn Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- RS001463
- Practice address
- 8623 N Telegraph Rd
Suite # 1
Dearborn Heights, MI 48127-1489 - Phone
- (313) 561-4540
- Fax
- (313) 561-9515
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | RS001463 | MI | Primary |
Addresses
Primary practice location
8623 N Telegraph Rd
Suite # 1
Dearborn Heights, MI 48127-1489
Mailing address
8623 N Telegraph Rd
Suite # 1
Dearborn Heights, MI 48127-1489
Phone (313) 561-4540
Other practice location 1
22711 Grand River Ave
Detroit, MI 48219-3113
Phone (313) 221-9189
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22711 Grand River Ave
Suite 100
Detroit, MI 48219-3113
Phone (313) 221-9189
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS001463 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamran F. Sheikh MD PC | Current | Accepting new patients |
Locations
22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189
22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189
29201 Telegraph Rd
Ste 404
Southfield, MI 48034
Phone (248) 355-0880
Interoperability endpoints
- randy.stapish.1@22774.direct.athenahealth.com
- randy.stapish.1@24172.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1558588772
-
- Family Medicine Physician
- Farmington, MI
- NPI 1205862513
-
- Internal Medicine Physician
- Dearborn Heights, MI
- NPI 1649931239
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Garden City Hospital
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1659490464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8623 N TELEGRAPH RD",
"address_2": "SUITE # 1",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271489",
"telephone_number": "313-561-4540",
"fax_number": "313-561-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8623 N TELEGRAPH RD",
"address_2": "SUITE # 1",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481271489",
"telephone_number": "313-561-4540",
"fax_number": "313-561-9515"
}
],
"practiceLocations": [
{
"address_1": "22711 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482193113",
"country_code": "US",
"telephone_number": "313-221-9189",
"fax_number": "313-766-5876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPISH",
"first_name": "RANDY",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "RS001463",
"primary": true
}
],
"identifiers": [],
"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 Sep 18, 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.