Individual provider Active NPI

Ryan M. Burkholder, MD

  • Gastroenterology Physician
  • Council Bluffs, IA
National Provider Identifier
1073045597
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-52177 Issued in IA
Practice address
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone
(402) 717-9800
NPI assigned
Apr 3, 2017
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-52177 IA Primary
Hospitalist Physician 208M00000X 35.13911 OH

Addresses

Primary practice location

800 Mercy Dr
Council Bluffs, IA 51503-3128

Mailing address

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (318) 626-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NE, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210709001894 OH Practitioner - Internal MedicinePractitioner - Gastroenterology 8325475387 Reassigns benefits to 4 organizations
I20230810001339 NE Practitioner - Gastroenterology 8325475387 Reassigns benefits to 6 organizations
I20251009004127 IA Practitioner - GastroenterologyPractitioner - Emergency Medicine 8325475387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, 52 clinicians
Memorial Health Care SystemsGroup PAC ID 3274528989, 27 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240

300 N Columbia Ave
Seward, NE 68434-2299
Phone (402) 643-2971

800 Mercy Dr
Suite 220
Council Bluffs, IA 51503-3128
Phone (712) 388-2660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35741NEMDDiabetes Educator Registered Nurse
35.13911OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Care Systems CurrentSince Oct 31, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince Jun 16, 2024 Accepting new patients
The Metrohealth System Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Shenandoah Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Unmc Physicians CurrentSince Jul 6, 2023 Accepting new patients
Shenandoah Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Shenandoah Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Shenandoah Medical Center Emergency Medicine Current Accepting new patients
4M Hospitalist Services, LLC CurrentSince Dec 1, 2021 Accepting new patients
Bloomington Medical Services LLC CurrentSince Oct 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 6, 2025 Accepting new patients
Alegent Creighton Clinic Gastroenterology CurrentSince Oct 6, 2025 Accepting new patients
Memorial Health Care Systems CurrentSince Oct 31, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Pomerene Hospital CurrentSince Jun 1, 2021 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2024 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

2771 Solution Ctr
Chicago, IL 60677

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

250 N Columbia Ave
Seward, NE 68434
Phone (402) 643-4800

300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
  • Direct secure messaging: rburkholder184102@direct.metrohealth.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1073045597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "318-626-0000",
            "fax_number": "732-889-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "402-717-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "RYAN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-52177",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.13911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.