RYAN GLEN GOLENIAK
NPI 1912587981
Internal Medicine in Detroit, MI

Q: What is Ryan Goleniak's NPI number?

The NPI number for Ryan Goleniak is 1912587981. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Ryan Goleniak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Goleniak was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1601(313) 916-2018 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 31, 2021, Apr 13, 2021 (2 updates tracked since 2021).

On this page

About Ryan Glen Goleniak NPPES

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

RYAN GLEN GOLENIAK (NPI 1912587981) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (5101028998) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and maintains a secondary practice location in Gwinn.

NPPES Registry Identity

NPI1912587981

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRYAN GLEN GOLENIAK

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address6900 Woonsocket StCanton, MI 48187-2722 · (734) 731-7305

Phone(313) 916-1601

Fax(313) 916-2018

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1912587981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101028998

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2799 W GRAND BLVD, Detroit, MI 48202

Open in Google Maps ↗

Secondary Practice Location 1

Location 1135 E M35Gwinn, MI 49841-9160 · Phone (906) 346-9275 · Fax (906) 346-5616

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

Ryan Glen Goleniak 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 ID3072918051

PECOS Enrollment IDI20260401001017

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230054

Location850 W Baraga AveMarquette, MI 49855 · Marquette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

HENRY FORD HOSPITAL

General Acute Care Hospital