NPIMap

Individual provider Active NPI

Ryan M. Kealy, M.D.

  • Hospitalist Physician
  • Hood River, OR
National Provider Identifier
1033325758
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD175853 Issued in OR
Practice address
810 12TH St
Hood River, OR 97031-1587
Phone
(541) 399-7552
NPI assigned
May 16, 2007
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD175853 OR
Family Medicine Physician 207Q00000X 201001235 NC
Hospitalist Physician 208M00000X MD175853 OR Primary

Addresses

Primary practice location

810 12TH St
Hood River, OR 97031-1587

Mailing address

PO Box 3390
Portland, OR 97208-3390

Other practice location 1

94220 4th St
Gold Beach, OR 97444-7756
Phone (541) 247-3000

Other identifiers 1

IdentifierTypeStateIssuer
500654588MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkealyball606833@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002428 OR Practitioner - HospitalistPractitioner - Family Practice 0749306959 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians

Practice addresses (Care Compare)

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122067CAMDClinical Social Worker
MD175853ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 13, 2016 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 2, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 13, 2016 Accepting new patients
Curry Health District CurrentSince May 17, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 2, 2024 Accepting new patients
Curry Health District CurrentSince May 17, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince May 20, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince May 20, 2017 Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

10624 S Eastern Ave
Ste A436
Henderson, NV 89052

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1151 May St
Hood River, OR 97031
Phone (541) 387-6125

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

Interoperability endpoints

  • Direct secure messaging: rkealyball606833@oc.providencedirect.org

Organizations & group practices 10

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 4

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1033325758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311587",
            "telephone_number": "541-399-7552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94220 4th St",
            "address_purpose": "LOCATION",
            "city": "Gold Beach",
            "state": "OR",
            "postal_code": "974447756",
            "country_code": "US",
            "telephone_number": "541-247-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEALY",
        "first_name": "RYAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD175853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201001235",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD175853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500654588",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkealyball606833@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1151 May St",
            "city": "Hood River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970311526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.