Active NPI
Ryan Deangelis, MD
- Orthopaedic Trauma Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 59769
- Practice address
- 740 S Limestone Ste D135
Lexington, KY 40536-1501 - Phone
- (859) 323-5533
- Fax
- (859) 257-3634
- NPI assigned
- Apr 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Trauma Physician | 207XX0801X | 59769 | KY | Primary |
Addresses
Primary practice location
740 S Limestone Ste D135
Lexington, KY 40536-1501
Mailing address
58 Beechwood Dr
Robbinsville, NJ 08691-3003
Phone (609) 647-6375
Other practice location 1
6431 Fannin St Ste 7304
Houston, TX 77030-1501
Phone (713) 500-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Cooper Medical School of Rowan University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT Pros, Inc
Practice addresses (Care Compare)
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412
109 N 3Rd St
Williamsburg, KY 40769-1123
Phone (606) 825-0009
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
830 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-0303
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59769 | KY | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1114415601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BEECHWOOD DR",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086913003",
"telephone_number": "609-647-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE D135",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405361501",
"telephone_number": "859-323-5533",
"fax_number": "859-257-3634"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St Ste 7304",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-5658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEANGELIS",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "KY",
"license": "59769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.