Individual provider Active NPI

Jordan Ryan, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1073994398
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.147690 Issued in OH
Practice address
8989 Winton Rd Ste 100
Cincinnati, OH 45231-3817
Phone
(513) 761-2776
Fax
(513) 679-4866
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125067413 IL
Family Medicine Physician 207Q00000X 35.147690 OH Primary

Addresses

Primary practice location

8989 Winton Rd Ste 100
Cincinnati, OH 45231-3817

Mailing address

8989 Winton Rd Ste 100
Cincinnati, OH 45231-3817
Phone (513) 761-2776

Other identifiers 1

IdentifierTypeStateIssuer
0030854MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231122002304 OH Practitioner - Family Practice 8527360080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

8989 Winton Rd
Cincinnati, OH 45231-3817
Phone (513) 761-2776

Hospital & facility affiliations

  • The Christ Hospital Home Health Care Home health agency, Mason, OH, CCN 368292
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125067413ILMDFamily Medicine Physician
35.147690OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
The Christ Hospital Health Network Urgent Care, LLC Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1073994398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 WINTON RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313817",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 WINTON RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313817",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125067413",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.147690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.