Individual provider Active NPI

Ryan T Fitt, MD

  • Emergency Medicine Physician
  • Danville, PA
National Provider Identifier
1104317965
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD25248 Issued in ME
Practice address
100 N Academy Ave
Danville, PA 17822-0001
Phone
(570) 271-6812
NPI assigned
May 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT215449 PA
Emergency Medicine Physician 207P00000X MD25248 ME Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-0001

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6812

Other identifiers 1

IdentifierTypeStateIssuer
MT215449OtherPAPENNSYLVANIA STATE BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001072 ME Practitioner - Emergency Medicine 9739572223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Colorado School of Medicine, Aurora, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Maine LLCGroup PAC ID 1052657616, 56 clinicians
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 768-4000

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25248MEMDEmergency Medicine Physician
MT215449PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Jan 26, 2022 Accepting new patients
Northern Maine Medical Center CurrentSince Oct 1, 2025 Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

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.

Hospital & facility affiliations 4

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": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1104317965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "570-271-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITT",
        "first_name": "RYAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-28",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT215449",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD25248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE",
            "identifier": "MT215449",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.