Ronald Gonzales Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

430107548 Issued in MI

Practice address

1124 N Saginaw St
Saint Charles, MI 48655-1021

Phone

(989) 865-8270

Fax

(989) 865-8582

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ronald L Gonzales MD PLLCGroup PAC ID 8325038805, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant at Home Home health agency, Saginaw, MI, CCN 237431
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rgonzales1188@direct.covenanthealthcare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald L Gonzales MD PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1154368439
  Medicare reassignment Care Compare group Authorized official
• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation
• Visiting Nurse Association of Saginaw

  • Home Health Agency
  • Saginaw, MI
  • NPI 1073595245
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1841274909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551021",
            "telephone_number": "989-865-8270",
            "fax_number": "989-865-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551021",
            "telephone_number": "989-865-8270",
            "fax_number": "989-865-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "430107548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4585811",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgonzales1188@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1124 N Saginaw St",
            "city": "Saint Charles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486551021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miranda Ezop, LMT
• Allyssa Faulknor
• Jessica Fields, RN
• Megan Frye
• Angela Girard, LMSW
• Sadina L Gonzales, MSOT
• Jessica D Knight
• Michelle Lafrance
• Renato Siazon Lee, M.D.
• Sarah Jean Leiner

• Family Medicine Physician in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.