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

Dr. Alan Ira Rebenstock, MD

Individual provider Diagnostic Radiology Physician · NPI 1982674925

Dr. Alan Ira Rebenstock, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from New York Medical College in 1997, 29 years ago. Practices with Covenant Medical Center, Inc, a 489-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
29
Trained at
New York Medical College
Licensed in
MI, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301088832 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD422684 (PA)

Record details

NPI number1982674925
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1997 (29 years in practice)
Group practice Covenant Medical Center, Inc. — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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