Individual provider Active NPI

Ryan J Coleman, MD

  • Diagnostic Radiology Physician
  • West Hollywood, CA
National Provider Identifier
1114982931
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C54386 Issued in CA
Practice address
8581 Santa Monica Blvd # 67
West Hollywood, CA 90069-4120
Phone
(310) 994-3672
NPI assigned
Apr 18, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L5287 TX
Diagnostic Radiology Physician 2085R0202X C54386 CA Primary
Diagnostic Radiology Physician 2085R0202X 40150 AZ

Addresses

Primary practice location

8581 Santa Monica Blvd # 67
West Hollywood, CA 90069-4120

Mailing address

8581 Santa Monica Blvd # 67
West Hollywood, CA 90069-4120
Phone (310) 994-3672

Other identifiers 2

IdentifierTypeStateIssuer
372255MedicaidAZ
156031008MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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
I20081021000015 AZ Practitioner - Diagnostic Radiology 2062453889 Reassigns benefits to 2 organizations
I20110913000151 CA Practitioner - Diagnostic Radiology 2062453889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

13090 N 94TH Dr
103 Simonmed Imaging Plaza del Rio
Peoria, AZ 85381-4257
Phone (623) 234-8770

1313 W Saint Marys Rd
Simonmed Imaging St Marys
Tucson, AZ 85745-3112
Phone (520) 449-8115

1331 N 7TH St
150 Simonmed Imaging Phoenix High Field
Phoenix, AZ 85006-2711
Phone (602) 253-0000

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

13555 W McDowell Rd
100 Simonmed Imaging Goodyear
Goodyear, AZ 85395-2624
Phone (623) 213-7690

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13657 W McDowell Rd
111 Simonmed Imaging Palm Valley II
Goodyear, AZ 85395-2602
Phone (623) 302-7930

13838 S 46TH PL
200 Simonmed Imaging Ahwatukee North
Phoenix, AZ 85044-7803
Phone (480) 763-7278

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14823 W Bell Rd
110 Simonmed Imaging Stadium Village
Surprise, AZ 85374-7604
Phone (623) 302-7900

15810 S 45TH St
110 Simonmed Imaging Ahwatukee
Phoenix, AZ 85048-7695
Phone (480) 753-6161

1664 E Florence Blvd
18 Simonmed Imaging Casa Grande
Casa Grande, AZ 85122-4779
Phone (520) 421-4875

1760 E Pecos Rd
101 Simonmed Imaging Rome Towers
Gilbert, AZ 85295-3201
Phone (480) 855-8060

1845 W Orange Grove Rd
103 Simonmed Imaging Orange Grove
Tucson, AZ 85704-1147
Phone (520) 230-4900

1870 W Frye Rd
3 Simonmed Imaging Dobson II
Chandler, AZ 85224-6233
Phone (480) 264-2350

1960 W Frye Rd
1 Simonmed Imaging Dobson Womens Center
Chandler, AZ 85224-6238
Phone (480) 306-7340

20414 N 27TH Ave
150 Simonmed Imaging Deer Valley
Phoenix, AZ 85027-3246
Phone (623) 234-2520

2080 W Southern Ave BLDG C
Simonmed Imaging Apache Junction
Apache Junction, AZ 85120-7653
Phone (480) 474-5960

20830 N Tatum Blvd
190 Simonmed Imaging Desert Ridge
Phoenix, AZ 85050-7253
Phone (480) 306-7900

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54386CAMDPharmacist
40150AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2013 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2013 Accepting new patients
County of Los Angeles Current Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology Past Accepting new patients
Rca Advanced Imaging LP Diagnostic Radiology Past Accepting new patients

Locations (25 of 64)

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

2450 E Guadalupe Rd
Ste 109
Gilbert, AZ 85234
Phone (480) 284-6019

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

5410 W Thunderbird Rd
Ste 221
Glendale, AZ 85306
Phone (602) 682-5000

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

13657 W McDowell Rd
Ste 207
Goodyear, AZ 85395
Phone (602) 815-5358

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

1457 W Southern Ave
Ste 26
Mesa, AZ 85202
Phone (480) 827-2237

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

117 E Main St
Ste D100
Payson, AZ 85541
Phone (928) 468-8234

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

1331 N 7th St
Ste 150
Phoenix, AZ 85006
Phone (602) 253-0000

13838 S 46th Pl
Ste 200
Phoenix, AZ 85044
Phone (480) 763-7278

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

20830 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 306-7900

2620 N 3rd St
Ste 102
Phoenix, AZ 85004
Phone (602) 234-2994

2620 N 3rd St
Ste 105
Phoenix, AZ 85004
Phone (623) 302-7950

3201 W Peoria Ave
Ste B301
Phoenix, AZ 85029
Phone (602) 688-6120

3201 W Peoria Ave
Ste B402
Phoenix, AZ 85029
Phone (602) 688-6120

4616 N 51st Ave
Ste 104
Phoenix, AZ 85031
Phone (623) 251-2800

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1114982931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD # 67",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "310-994-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8581 SANTA MONICA BLVD # 67",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694120",
            "telephone_number": "310-994-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L5287",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C54386",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "40150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372255",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156031008",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.