Ryan M. Burkholder, MD
Individual provider Active NPI Gastroenterology Physician · Shreveport, LA
NPI 1073045597 · NPPES record last updated Oct 9, 2025
Key facts
- NPI
- 1073045597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD-52177 (IA)
- Practice address
- 1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228 - Phone
- (318) 626-0434
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Medical Center
Memorial Health Care Systems
Alegent Creighton Clinic
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
- CHI Health Mercy Council Bluffs
- Shenandoah Medical Center
- Memorial Health Care Systems
- CHI Health Bergan Mercy
- CHI Health St Mary'S
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OH, NE, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709001894 | OH | Practitioner - Internal Medicine |
8325475387 | Reassigns benefits to 4 organizations |
| I20230810001339 | NE | Practitioner - Gastroenterology | 8325475387 | Reassigns benefits to 6 organizations |
| I20251009004127 | IA | Practitioner - Gastroenterology |
8325475387 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35741 | NE | MD | Diabetes Educator Registered Nurse |
| MD-52177 | IA | MD | Gastroenterology Physician |
| 35.13911 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current |
Accepting new patients | |
| 4M Hospitalist Services, LLC | Current |
Accepting new patients | |
| Shenandoah Medical Center | Emergency Medicine | Current | Accepting new patients |
| Shenandoah Medical Center | Current |
Accepting new patients | |
| Usacs Integrated Acute Care Services of Ohio, LLC | Current |
Accepting new patients | |
| Shenandoah Medical Center | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Memorial Health Care Systems | Current |
Accepting new patients | |
| Pomerene Hospital | Current |
Accepting new patients | |
| Memorial Health Care Systems | Current |
Accepting new patients | |
| The Metrohealth System | Emergency Medicine | Current |
Accepting new patients |
| Alegent Creighton Clinic | Gastroenterology | Current |
Accepting new patients |
| Shenandoah Medical Center | Current |
Accepting new patients | |
| The Metrohealth System | Current |
Accepting new patients | |
| Bloomington Medical Services LLC | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Current |
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
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971
250 N Columbia Ave
Seward, NE 68434
Phone (402) 643-4800
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
29 N Adams St
Akron, OH 44304
Phone (330) 572-7293
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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
- rburkholder184102@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 312696 | LA | |
| Hospitalist Physician | 208M00000X | 35.13911 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | MD-52177 | IA | Yes |
Addresses
Primary practice location
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone (318) 626-0434
Other practice location 1
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 717-9800
Other practice location 2
525 E Market St
Akron, OH 44304-1619
Phone (124) 068-6230
Other providers in Shreveport, LA
- Michelle Anne Burgoyne
- James Booth Burke
- Suzanne M Burke
- Susan Burkett
- Tara Michelle Burkhalter
- Lasherrica Tarshai Burks
- Patricia 71109 Burks
- Shawanda Burks
- Traci Richards Burks
- Jennifer Burks,
All providers in Shreveport, LA · Gastroenterology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.