Individual provider Active NPI

Ryan Timothy Pyles, PA-C, MPAS

  • Medical Physician Assistant
  • Raphine, VA
National Provider Identifier
1003371410
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
25 Commerce Park Drive
Raphine, VA 24472
Phone
(540) 490-2527
Fax
(540) 377-2099
NPI assigned
Feb 11, 2019
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

25 Commerce Park Drive
Raphine, VA 24472

Mailing address

2015 1St St
Staunton, VA 24401-2923
Phone (540) 280-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20190408000318 VA Practitioner - Physician Assistant 4284975905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Feb 14, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 14, 2019 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

8644 Sudley Rd
#220
Manassas, VA 20110

25 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

3985 Prince William Pkwy
Ste 102
Woodbridge, VA 22192
Phone (703) 590-8375

Interoperability endpoints

  • Direct secure messaging: ryan.pyles.3@8042.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1003371410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 1ST ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012923",
            "telephone_number": "540-280-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMERCE PARK DRIVE",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "24472",
            "telephone_number": "540-490-2527",
            "fax_number": "540-377-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "RYAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raphine, VA

Sources for this page

Verify at the official NPI Registry.