Individual provider Active NPI

Ryan Inshan Ally, M.D.

  • Family Medicine Physician
  • North Chesterfield, VA
National Provider Identifier
1093075715
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116024464 Issued in VA
Practice address
2500 Pocoshock PL
Suite 104
North Chesterfield, VA 23235-6345
Phone
(804) 276-9305
Fax
(804) 674-4145
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116024464 VA Primary

Addresses

Primary practice location

2500 Pocoshock PL
Suite 104
North Chesterfield, VA 23235-6345

Mailing address

2500 Pocoshock PL
Suite 104
North Chesterfield, VA 23235-6345
Phone (804) 276-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1093075715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 POCOSHOCK PL",
            "address_2": "SUITE 104",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356345",
            "telephone_number": "804-276-9305",
            "fax_number": "804-674-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POCOSHOCK PL",
            "address_2": "SUITE 104",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356345",
            "telephone_number": "804-276-9305",
            "fax_number": "804-674-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLY",
        "first_name": "RYAN",
        "middle_name": "INSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116024464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.