NPIMap

Individual provider Active NPI

Jason Thomas Ryan, MD

  • Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1093035008
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301096222 Issued in MI
Practice address
1535 Gull Rd Ste 20
Kalamazoo, MI 49048-1626
Phone
(269) 381-4577
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301096222 MI Primary

Addresses

Primary practice location

1535 Gull Rd Ste 20
Kalamazoo, MI 49048-1626

Mailing address

1535 Gull Rd Ste 20
Kalamazoo, MI 49048-1626
Phone (269) 381-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000382 MI Practitioner - Vascular SurgeryPractitioner - General Surgery 9436389467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1535 Gull Rd
Kalamazoo, MI 49048-1650
Phone (269) 381-3521

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Beacon Plainwell Long-term care hospital, Plainwell, MI, CCN 232034

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Leg revascularization (restoring blood flow)12
Removal of tissue27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Aug 1, 2018 Accepting new patients
Promed Healthcare CurrentSince Oct 22, 2018 Accepting new patients
Ascension Borgess Hospital CurrentSince Aug 1, 2018 Accepting new patients
Ascension Medical Group Promed Vascular Surgery CurrentSince Oct 22, 2018 Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1535 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5927

1535 Gull Rd
Ste 20
Kalamazoo, MI 49048
Phone (269) 381-4577

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1535 Gull Rd
Ste 020
Kalamazoo, MI 49048
Phone (269) 381-4577

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 6

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 6

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1093035008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD STE 20",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481626",
            "telephone_number": "269-381-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD STE 20",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481626",
            "telephone_number": "269-381-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301096222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.