Individual provider Active NPI

Randolph E. Schumacher, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Flint, MI
National Provider Identifier
1912002999
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301405199 Issued in MI
Practice address
2700 Robert T Longway Blvd
Suite a
Flint, MI 48503-2190
Phone
(810) 235-2599
Fax
(810) 235-2836
NPI assigned
Sep 14, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301405199 MI Primary

Addresses

Primary practice location

2700 Robert T Longway Blvd
Suite a
Flint, MI 48503-2190

Mailing address

1409 S Graham Rd
Flint, MI 48532-3538
Phone (810) 235-2599

Other identifiers 2

IdentifierTypeStateIssuer
4511654MedicaidMI
1102510081OtherMIBLUE SHIELD

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
I20070716000110 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8123046232 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301405199MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric and Medical Specialists of Michigan P L C Internal Medicine CurrentSince Sep 1, 2002 Accepting new patients
Sciometrix Inc CurrentSince Apr 30, 2023 Accepting new patients
Mid Michigan Diagnostic Corp Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sciometrix LLC CurrentSince Apr 30, 2023 Accepting new patients
Mission Point of Flint LLC Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1409 S Graham Rd
Flint, MI 48532
Phone (810) 235-2599

2700 Robert T Longway Blvd
Ste A
Flint, MI 48503
Phone (810) 235-2599

5130 Baldwin Rd
Holly, MI 48442
Phone (810) 603-0800

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Organizations & group practices 5

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1912002999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323538",
            "telephone_number": "810-235-2599",
            "fax_number": "810-235-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2599",
            "fax_number": "810-235-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "RANDOLPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301405199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4511654",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1102510081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.