Active NPI
Jordan Ryan, M.D.
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.147690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030854 | Medicaid | OH |
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
Enrollment records 1
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
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
- Christ Hospital
- Mercy Health - Fairfield Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125067413 | IL | MD | Family Medicine Physician |
| 35.147690 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Park Medical Associates, Inc. | Current | Accepting new patients | |
| The Christ Hospital Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| The Christ Hospital Health Network Urgent Care, LLC | Family Medicine | Current | 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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1114107919
Family Medicine
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1477867208
Family Medicine
-
- Physical Therapist
- Mason, OH
- NPI 1326126061
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1841310331
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mason, OH
- NPI 1295987774
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.