Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlos Rafael Gonzalez Rendon, MD

Individual provider Surgery Physician · NPI 1467688879

Carlos Rafael Gonzalez Rendon, MD is a General Surgery in Munster, Indiana. Qualified in 2001, 25 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
25
Licensed in
IL, IN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10110 Don S Powers Dr Ste 202
Munster, IN 46321-4070
Phone: (219) 922-8222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 305 W Jackson St, Carbondale, IL 62901-1474 — (618) 457-3009
  • 4320 Fir St Unit 410, East Chicago, IN 46312-3078 — (219) 392-7665

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 01079893A (IN)
Surgery Physician Taxonomy 208600000X · Licence 036.134436 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11014829A (IN)

Record details

NPI number1467688879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2009
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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