DR. RONALD D NELSON (MD) – Interventional Cardiology Physician, NPI 1629076328

DR. RONALD D NELSON (MD) is a healthcare provider. based in Granger, Indiana. specializing in Interventional Cardiology Physician. They hold the professional credentials MD. They hold a License No. 01031367A (IN). The NPI Number for DR. RONALD D NELSON (MD) is 1629076328

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD D NELSON (MD)
NPI
1629076328
Phone
(574) 647-8788
Address
3220 Beacon Pkwy
Enumeration Date
7 July 2005
Last Update Date
28 April 2023

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
5746476500
Graduation Year
1974 (52 years ago)
PAC ID
8426037698
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20041002000125

Contacts

Secure Messaging
NELSON@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. RONALD D NELSON (MD)

  • 3220 Beacon Pkwy

    Ste 200

    Granger, IN 465307196

    Phone: (574) 647-8788

    Fax: (574) 647-3321

    Type: Location

  • 900 I St

    La Porte, IN 463505533

    Phone: (219) 324-1700

    Fax: (219) 324-1602

    Type: Location

  • 610 N Michigan St

    Ste 306

    South Bend, IN 466011079

    Phone: (574) 647-6500

    Fax: (574) 647-6518

    Type: Location

  • 610, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46601, United States

    STE 400

    SOUTH BEND, IN 466011081

    Phone: (574) 647-8120

    Fax: (574) 647-3111

    Type: Location

  • 500 Arcade Ave

    Ste 400

    Elkhart, IN 465142487

    Phone: (574) 522-2284

    Fax: (574) 522-3952

    Type: Location

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $492.

Total Amount is formed as General ($492) + Research ($0) + Ownership ($0) = $492.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($179).

Total Amount

$492

General + Research + Ownership

Payments

31

Total payment records

General Amount

$492

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-02

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
I20041002000125IInterventional CardiologyINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes393292$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report305290$0
36415Insertion of needle into vein for collection of blood sample166116$0
99213Established patient office or other outpatient visit, 20-29 minutes165147$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function9349$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

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Provider's Procedures

DR. RONALD D NELSON (MD) performs procedures in Interventional Cardiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYIN92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin2622
INTERVENTIONAL CARDIOLOGYIN93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart5453

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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

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Frequently asked questions

Does DR. RONALD D NELSON (MD) have a public NPI I can cite?
Public records show DR. RONALD D NELSON (MD) under NPI 1629076328.
Is DR. RONALD D NELSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. RONALD D NELSON (MD) as active.
Which specialty label fits DR. RONALD D NELSON (MD)?
NPPES ties DR. RONALD D NELSON (MD) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RONALD D NELSON (MD)?
DR. RONALD D NELSON (MD) is associated with Granger, Indiana in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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