Active NPI
Ryan T Pitman, M.D.
- Pediatric Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 2025029054
- Practice address
- 615 S New Ballas Rd Ste Y-G230
Saint Louis, MO 63141-8221 - Phone
- (314) 251-5550
- Fax
- (314) 251-5552
- NPI assigned
- Jun 27, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 01082129A | IN | |
| Pediatric Gastroenterology Physician | 2080P0206X | 2025029054 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd Ste Y-G230
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd Ste Y-G230
Saint Louis, MO 63141-8221
Phone (314) 251-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300025263 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpitman@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9735 Landmark Pkwy Dr
Suite 201
Saint Louis, MO 63127
PO Box
Chicago, IL 60677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025029054 | MO | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Kids Gi, LLC | Pediatric Gastroenterology | Current | Accepting new patients |
| University Pediatric Associates, Inc. | Pediatrics | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
575 Riley Hospital Dr
Ste 42
Indianapolis, IN 46202
705 Riley Hospital Dr
#4210
Indianapolis, IN 46202
Phone (317) 944-3774
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
615 S New Ballas Rd
Ste YG230
Saint Louis, MO 63141
Phone (314) 251-5399
Interoperability endpoints
- rpitman@direct.iuhealth.org
Organizations & group practices 3
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.
-
- Pediatric Gastroenterology Physician
- Saint Louis, MO
- NPI 1033352885
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1457396541
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1093155632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD STE Y-G230",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-5550",
"fax_number": "314-251-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD STE Y-G230",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-5550",
"fax_number": "314-251-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITMAN",
"first_name": "RYAN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IN",
"license": "01082129A",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MO",
"license": "2025029054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300025263",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpitman@direct.iuhealth.org",
"affiliation": "N",
"address_1": "705 Riley Hospital Dr",
"address_2": "ROC 4210",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.