DR. RANDY GRANT II COLVIN (M.D.) – Emergency Medicine Physician, NPI 1992097406

DR. RANDY GRANT II COLVIN (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. Q4927 (TX). The NPI Number for DR. RANDY GRANT II COLVIN (M.D.) is 1992097406

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY GRANT II COLVIN (M.D.)
NPI
1992097406
Phone
(504) 214-0287
Address
1001 W 15TH ST
Enumeration Date
3 May 2011
Deactivation Date
27 December 2021
Reactivation Date
13 January 2022
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2142171911
Graduation Year
2011 (15 years ago)
PAC ID
5496055774
Group Practice PAC ID
6204739402
Professional Enrollment ID
I20151119000203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. RANDY GRANT II COLVIN (M.D.)

  • 1001 W 15TH ST

    336

    CHICAGO, IL 606083723

    Phone: (504) 214-0287

    Type: Mailing

  • 1900 W POLK ST FL 10

    CHICAGO, IL 606123723

    Phone: (312) 864-0065

    Type: Location

  • 1A BURTON HILLS BLVD

    NASHVILLE, TN 372156187

    Phone: (615) 665-1283

    Type: Mailing

  • 13737 NOEL RD STE 1600

    DALLAS, TX 752401374

    Phone: (156) 651-2836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151119000203IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making154152$0
99284Emergency department visit with moderate level of medical decision making7977$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5953$0
99291Critical care, first 30-74 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 60608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204739402View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RANDY GRANT II COLVIN (M.D.)'s NPI?
Yes. DR. RANDY GRANT II COLVIN (M.D.) is listed with NPI 1992097406 in the public NPI dataset.
Is DR. RANDY GRANT II COLVIN (M.D.) listed as active for patients and plans?
The listing shows DR. RANDY GRANT II COLVIN (M.D.) as active in the NPI system.
What is DR. RANDY GRANT II COLVIN (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. RANDY GRANT II COLVIN (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RANDY GRANT II COLVIN (M.D.)?
DR. RANDY GRANT II COLVIN (M.D.)'s geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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