FREDERICK GANZI (M.D) – Anesthesiology Physician, NPI 1639105646
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FREDERICK GANZI (M.D)
1840 Wealthy St SE
Grand Rapids, MI 495062921
Phone: (616) 364-4200
Type: Location
3333 Evergreen Dr NE
Grand Rapids, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
Holland Hospital, 602, Michigan Avenue, Holland, Ottawa County, Michigan, 49423, United States
HOLLAND, MI 494234918
Phone: (616) 392-5141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $495.
Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($190).
Total Amount
$495
General + Research + Ownership
Payments
24
Total payment records
General Amount
$495
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110126000737 | I | Anesthesiology | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Anesthesiology, Family Practice | MI | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| A N E S T H E S I O L O G Y | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
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