DR. MIRAFLOR REYES-GANZON MD
NPI 1457357055
Pediatrics in Jackson, MI

Q: What is Miraflor Reyes-ganzon's NPI number?

The NPI number for Miraflor Reyes-ganzon is 1457357055. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Miraflor Reyes-ganzon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment

505 N JACKSON ST, JACKSON, MI 49201(517) 748-5500(517) 780-9286 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Jan 28, 2021 (2 updates tracked since 2021).

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About Dr. Miraflor Reyes-ganzon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIRAFLOR REYES-GANZON MD (NPI 1457357055) is an individual pediatrics provider in Jackson, Michigan, licensed in Michigan (4301068653) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (1991).

NPPES Registry Identity

NPI1457357055

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MIRAFLOR REYES-GANZONCredential: MD

Location Address505 N JACKSON STJackson, MI 49201-1266

Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500 · Fax (517) 780-9286

Phone(517) 748-5500

Fax(517) 780-9286

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1991

Enumeration DateJune 28, 2005

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1457357055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301068653

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

505 N JACKSON ST, Jackson, MI 49201

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Other Identifiers 1

Medicaid3266277-10MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miraflor Reyes-ganzon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204908890

PECOS Enrollment IDI20080626000060

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN LIZETH HERNANDEZ MARTINEZ LLMSW

Social Worker (Clinical)