GABRIEL E PEDRAZA MD
NPI 1992785588
Internal Medicine - Critical Care Medicine in Wyoming, MI

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200(616) 252-6239 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Dec 20, 2017 (2 updates tracked since 2017).

About Gabriel E Pedraza Md NPPES

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

GABRIEL E PEDRAZA MD (NPI 1992785588) is an individual critical care medicine provider in Wyoming, Michigan, licensed in Michigan (4301082542) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1992785588
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameGABRIEL E PEDRAZACredential: MD
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-4950
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Fax(616) 252-6239
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1992785588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MI · 4301082542
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301082542 (MI)
5900 BYRON CENTER AVE SW, Wyoming, MI 49519

Secondary Practice Location 1

Location 1601 John St, Suite M410Kalamazoo, MI 49007-5341 · Phone (269) 341-7762 · Fax (269) 341-8098

Other Identifiers 2

OtherCA2184MI · Railroad Medicare
Medicaid4529372MI

Accepted 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

Gabriel E Pedraza 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 ID5799762902
PECOS Enrollment IDI20100120000147, I20250701004325
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Emergency Medicine
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH HOSPITAL
WYOMING, MI 49519
Anesthesiology
5900 BYRON CENTER AVE SW, METRO HEALTH - HOSPITAL
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Pathology (Clinical Pathology/Laboratory Medicine)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Emergency Medicine (Emergency Medical Services)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Pedraza's NPI number?

The NPI number for Gabriel Pedraza is 1992785588. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Gabriel Pedraza located?

Gabriel Pedraza practices at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 252-7200.

What is Gabriel Pedraza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Gabriel Pedraza enrolled in Medicare?

Yes. Gabriel Pedraza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gabriel Pedraza accept?

Health plans from Priority Health list Gabriel Pedraza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gabriel Pedraza affiliated with any hospitals?

According to CMS data, Gabriel Pedraza is affiliated with University Of Michigan Health - West and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Gabriel Pedraza was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.