Individual provider Active NPI

John Ryan, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1073695698
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14069 Issued in NV
Practice address
8530 Sunset Road
#230
Las Vegas, NV 89103
Phone
(702) 483-4483
Fax
(702) 483-4493
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 14069 NV Primary

Addresses

Primary practice location

8530 Sunset Road
#230
Las Vegas, NV 89103

Mailing address

8530 W Sunset Rd
#230
Las Vegas, NV 89113-2215
Phone (702) 483-4483

Other identifiers 1

IdentifierTypeStateIssuer
1073695698MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000036 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 1052415841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of South Carolina School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

9260 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4903
Phone (702) 483-4483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.39 of 100Reported as group
Quality
96.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy161
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14069NVMDGastroenterology Physician
22707SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Chen PLLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2863 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 483-4483

10001 S Eastern Ave
Ste 200
Henderson, NV 89052
Phone (702) 483-4483

8530 W Sunset Rd
Ste 230
Las Vegas, NV 89113
Phone (702) 483-4483

2410 Fire Mesa St
Ste 170
Las Vegas, NV 89128
Phone (702) 483-4483

6850 N Durango Dr
Ste 216
Las Vegas, NV 89149
Phone (702) 407-7700

9260 W Sunset Rd
Ste 306
Las Vegas, NV 89148
Phone (702) 483-4483

Interoperability endpoints

  • Direct secure messaging: jryan@cdin.curemd.direct-ci.com

Organizations & group practices 5

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 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1073695698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-483-4483",
            "fax_number": "702-483-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 SUNSET ROAD",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-483-4483",
            "fax_number": "702-483-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "14069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073695698",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.