Ryan E Berecky, MD

Key facts

NPI

1104026772

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

MD156397 (OR)

Practice address

1460 NE Medical Center Dr
Bend, OR 97701-6061

Phone

(541) 382-6633

Fax

(541) 382-2719

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 16

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.

• Central Oregon Radiology Assoc PC Diagnostic Radiology Physician · Bend, OR · NPI 1477590081
  Medicare reassignment Care Compare group NPD DIAGNOSTIC RADIOLOGY · OR
• Lake Health District Critical Access Hospital · Lakeview, OR · NPI 1376698522
  Medicare reassignment Care Compare group NPD OR
• Cascade Medical Imaging LLC Diagnostic Radiology Physician · Bend, OR · NPI 1932621588
  Medicare reassignment Care Compare group OR
• Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Physician · Bend, OR · NPI 1114972155
  Medicare reassignment Care Compare group OR
• Bend Memorial Clinic PC Family Medicine Physician · Bend, OR · NPI 1699827477
  Medicare reassignment NPD OR
• Sky Lakes Medical Center Inc General Acute Care Hospital · Klamath Falls, OR · NPI 1659340370
  Medicare reassignment NPD OR
• Lake Health District Rural Health Clinic/Center · Lakeview, OR · NPI 1699183236
  Care Compare group
• Bend Memorial Clinic PC Clinical Medical Laboratory · Bend, OR · NPI 1972144913
  NPD
• Cascade Medical Imaging LLC Diagnostic Radiology Physician · Redmond, OR · NPI 1821649963
  NPD DIAGNOSTIC RADIOLOGY
• Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Physician · Bend, OR · NPI 1154599579
  NPD DIAGNOSTIC RADIOLOGY
• Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Physician · Bend, OR · NPI 1194596304
  NPD DIAGNOSTIC RADIOLOGY
• Morrow County Health District Medicare Defined Swing Bed Hospital Unit · Heppner, OR · NPI 1770514481
  NPD
• Sky Lakes Medical Center Inc Community/Retail Pharmacy · Klamath Falls, OR · NPI 1003654625
  NPD
• Cascade Medical Imaging LLC Diagnostic Radiology Physician · Madras, OR · NPI 1740690114
  NPD (past) DIAGNOSTIC RADIOLOGY
• Arizona Advanced Imaging Center LLC Magnetic Resonance Imaging (MRI) Clinic/Center · Mesa, AZ · NPI 1124078431
  NPD (past)
• Imaging Advanced Consultants LLC Magnetic Resonance Imaging (MRI) Clinic/Center · Mesa, AZ · NPI 1144704610
  NPD (past)

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Mountain Hospital District Critical Access Hospital · John Day, OR · NPI 1356414395
  Care Compare affiliation Hospital
• Cascade Healthcare Community Inc Sleep Disorder Diagnostic Clinic/Center · Bend, OR · NPI 1164675963
  Care Compare affiliation Hospital
• Harney District Hospital Critical Access Hospital · Burns, OR · NPI 1285742338
  Care Compare affiliation Hospital
• Harney District Hospital Multi-Specialty Clinic/Center · Burns, OR · NPI 1972113306
  Care Compare affiliation Hospital
• St. Charles Health System, Inc. Critical Access Hospital · Prineville, OR · NPI 1710160445
  Care Compare affiliation Hospital
• St. Charles Health System, Inc. General Acute Care Hospital · Bend, OR · NPI 1982621447
  Care Compare affiliation Hospital
• Wallowa County Health Care District Critical Access Hospital · Enterprise, OR · NPI 1558366229
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Oregon Radiology Assoc PC (43 clinicians)
Cascade Medical Imaging LLC (40 clinicians)
Central Oregon Magnetic Resonance Imaging LLC (36 clinicians)
Lake Health District (56 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital · Bend, OR · CCN 380047
• Wallowa Memorial Hospital Hospital · Enterprise, OR · CCN 381306
• St Charles Medical Center Prineville Hospital · Prineville, OR · CCN 381313
• Harney District Hospital Hospital · Burns, OR · CCN 381307
• Blue Mountain Hospital Hospital · John Day, OR · CCN 381305

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 2, 2023.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1104026772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERECKY",
        "first_name": "RYAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD156397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bend, OR · Diagnostic Radiology Physician in Oregon