John B Ryan, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

4301068798 Issued in MI

Practice address

11012 E 13 Mile Rd Ste 201
Warren, MI 48093-2547

Phone

(586) 582-0864

Fax

(586) 582-0964

NPI assigned

Aug 18, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

81.94 of 100Reported as group

Quality

79.82

Promoting interoperability

100

Improvement activities

40

Cost

59.99

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jryan1149861@direct.hfhs.org
• Direct secure messaging: jryan@msspc.emadirect.md

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1023000882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932547",
            "telephone_number": "586-582-0864",
            "fax_number": "586-582-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 201",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932547",
            "telephone_number": "586-582-0864",
            "fax_number": "586-582-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301068798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4528910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "JR068798",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Medical Equipment, Inc
• Ryan Medical Services
• Ryan Pharmacy
• Ryan RX LLC
• Daniel Martin Ryan, MD
• Mark Thomas Ryan, D.O.
• Nicole Marie Ryan, LMSW
• Catherine Rychel, P.T.
• Sa Home Care LLC
• Sa Home Care Service LLC

• Sports Medicine (Orthopaedic Surgery) Physician in Warren, MI
• Providers in Warren, MI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.