Ryan Bird

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1140 W South Boulder Rd
Suite 202
Lafayette, CO 80026-2854

Phone

(303) 604-1444

Fax

(303) 666-0911

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Valley Center for Dermatology LLCGroup PAC ID 9335037159, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.43 of 100Reported as group

Quality

89.17

Promoting interoperability

100

Improvement activities

40

Cost

72.26

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boulder Valley Center for Dermatology LLC

  • Dermatology Physician
  • Lafayette, CO
  • NPI 1306927231
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1003220815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD",
            "address_2": "SUITE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262854",
            "telephone_number": "303-604-1444",
            "fax_number": "303-666-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W SOUTH BOULDER RD",
            "address_2": "SUITE 202",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262854",
            "telephone_number": "303-604-1444",
            "fax_number": "303-666-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudakshina Bhatta
• Cynthya Veronica Biergans
• Richard Bigler, DO
• Vincent A Bilello, M.D.
• Francesca Bini
• Marcia Beth Birkenkamp, RPT
• Katharine Black, RBT
• Samantha Black, LCSW
• Tara Blackfeather
• Daphne Ellyn Blake, RN

• Medical Physician Assistant in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.