Individual provider Active NPI

Ryan O'Connell, D.O.

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1083973374
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116024095 Issued in VA
Practice address
120 South Main Street
Danville, VA 24541
Phone
(315) 723-4320
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 280169 NY
Internal Medicine Physician 207R00000X 0116024095 VA Primary

Addresses

Primary practice location

120 South Main Street
Danville, VA 24541

Mailing address

955 Rocky Knoll LN
Danville, VA 24541-8900
Phone (315) 723-4320

Other practice location 1

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

Other identifiers 1

IdentifierTypeStateIssuer
1083973374MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY, NC3 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
I20140819001613 VA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7517184393 Reassigns benefits to 2 organizations
I20151130000048 NY Practitioner - Internal Medicine 7517184393 Reassigns benefits to 7 organizations
I20160822001386 NC Practitioner - Internal Medicine 7517184393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280169NYMDInternal Medicine Physician
0116024095VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. Internal Medicine CurrentSince May 6, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 11, 2016 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Apogee Medical Group North Carolina CurrentSince Jun 15, 2016 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
MVHS Inc CurrentSince Nov 16, 2015 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Upstate Ny Doctor of Medicine PLLC CurrentSince Sep 1, 2024 Accepting new patients
Wajeeh Sana Physician PC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
MVHS Inc CurrentSince Nov 16, 2015 Accepting new patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince Jun 17, 2014 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Sep 15, 2018 Accepting new patients
New York Medical Physician Associates PC CurrentSince Oct 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients
Oneida Health Systems, Inc Past Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 11

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1083973374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 ROCKY KNOLL LN",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245418900",
            "telephone_number": "315-723-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH MAIN STREET",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "315-723-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135022517",
            "country_code": "US",
            "telephone_number": "315-917-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280169",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116024095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083973374",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.