Individual provider Active NPI

William D Ryan, MD

  • Family Medicine Physician
  • Whitesboro, NY
National Provider Identifier
1104924570
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150498 Issued in NY
Practice address
37 Main St.
Whitesboro, NY 13492
Phone
(315) 736-9337
Fax
(315) 624-5152
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 150498 NY Primary

Addresses

Primary practice location

37 Main St.
Whitesboro, NY 13492

Mailing address

2209 Genesee St
Business Office
Utica, NY 13501-5930
Phone (315) 801-3282

Other identifiers 1

IdentifierTypeStateIssuer
150498MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050518000306 NY Practitioner - Family Practice 4183665359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

37 Main St
Whitesboro, NY 13492-1034
Phone (315) 736-9337

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Mar 1, 2005 Accepting new patients
MVHS Inc Family Medicine CurrentSince Mar 1, 2005 Accepting new patients

Locations

8112 State Route 12
Barneveld, NY 13304
Phone (315) 896-4111

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

37 Main St
Whitesboro, NY 13492
Phone (315) 624-8800

Interoperability endpoints

  • Direct secure messaging: wryan11986@mvhealthsystem.direct-ci.com
  • Direct secure messaging: wryan@hiemail.healtheconnections.org

Organizations & group practices 2

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1104924570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "address_2": "BUSINESS OFFICE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST.",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-736-9337",
            "fax_number": "315-624-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

Verify at the official NPI Registry.