Individual provider Active NPI

Ryan T Pitman, M.D.

  • Pediatric Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1093155632
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
2025029054 Issued in MO
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

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300025263MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpitman@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200824001674 IN Practitioner - GastroenterologyPractitioner - Pediatric Medicine 6204253107 Reassigns benefits to 1 organization
I20250910000424 MO Practitioner - Pediatric MedicinePractitioner - Gastroenterology 6204253107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
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

LicenseStateTypeSpecialty
2025029054MOMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Kids Gi, LLC Pediatric Gastroenterology CurrentSince Aug 4, 2025 Accepting new patients
University Pediatric Associates, Inc. Pediatrics CurrentSince May 23, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.