IAN GONZALES (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1780095752

IAN GONZALES (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301105287 (MI). The NPI Number for IAN GONZALES (M.D.) is 1780095752

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
IAN GONZALES (M.D.)
NPI
1780095752
Phone
(616) 840-7135
Address
235 WEALTHY ST SE
Enumeration Date
13 May 2014
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6162420422
Graduation Year
2014 (12 years ago)
PAC ID
6305159674
Group Practice PAC ID
4587576541
Professional Enrollment ID
I20200609000330
Address ID
MI495035247GR235XXSEXX400

Contacts

Secure Messaging
igonzales90767@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for IAN GONZALES (M.D.)

  • 235 WEALTHY ST SE

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-7135

    Fax: (616) 840-9690

    Type: Mailing

  • 201 WHISPERING HL

    COMMERCE TOWNSHIP, MI 483903960

    Phone: (575) 571-2319

    Type: Mailing

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (575) 571-2319

    Type: Location

  • 700 COOPER AVE STE 1100

    SAGINAW, MI 486025383

    Phone: (989) 583-2720

    Fax: (989) 583-1888

    Type: Location

  • 515 N MICHIGAN AVE

    SAGINAW, MI 486024316

    Phone: (989) 583-2729

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $553.

Total Amount is formed as General ($553) + Research ($0) + Ownership ($0) = $553.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($293).

Total Amount

$553

General + Research + Ownership

Payments

22

Total payment records

General Amount

$553

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

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: 2020-06-09

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
I20200609000330IPhysical Medicine And RehabilitationMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes834183$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9995$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8368$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5939$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587576541View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOK
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

How do I look up IAN GONZALES (M.D.) by NPI?
Use NPI 1780095752 when you need to reference IAN GONZALES (M.D.) in forms, claims, or directories.
Is IAN GONZALES (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does IAN GONZALES (M.D.) work in?
You can think of IAN GONZALES (M.D.) as practicing within Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Does IAN GONZALES (M.D.) practice in Michigan?
You will see Grand Rapids, Michigan on file for IAN GONZALES (M.D.) alongside any extra practice locations.
How can I contact IAN GONZALES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.