Individual provider Active NPI

Ryan N Vogel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Greenfield, WI
National Provider Identifier
1124361142
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
62787 Issued in WI
Practice address
4131 W Loomis Rd Ste 240
Greenfield, WI 53221-2072
Phone
(262) 510-0300
Fax
(262) 510-0500
NPI assigned
Mar 27, 2013
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 62787 WI Primary

Addresses

Primary practice location

4131 W Loomis Rd Ste 240
Greenfield, WI 53221-2072

Mailing address

4131 W Loomis Rd Ste 240
Greenfield, WI 53221-2072
Phone (262) 510-0300

Other practice location 1

1249 W Liebau Rd Ste 201
Mequon, WI 53092-3396
Phone (262) 510-0300

Other practice location 2

N19W24133 Riverwood Dr Ste 190
Waukesha, WI 53188-1103
Phone (262) 510-0300

Other identifiers 4

IdentifierTypeStateIssuer
100039520MedicaidWI
000001467755OtherAMERICAN ACADEMY OF OPHTHALMOLOGY
14446651OtherCAQH
62787OtherWIWI STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190528000125 WI Practitioner - Ophthalmology 0749509123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Retina S.C.Group PAC ID 4082008792, 3 clinicians

Practice addresses (Care Compare)

4131 W Loomis Rd
Suite 240
Greenfield, WI 53221-2072
Phone (262) 510-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62787WIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Retina S.C. Retina Specialist CurrentSince Feb 10, 2022 Accepting new patients
Independent Physicians of Wisconsin, LLC Past Accepting new patients

Locations

385 Williamstowne
Ste 101
Delafield, WI 53018
Phone (262) 444-0124

1249 W Liebau Rd
Ste 201
Mequon, WI 53092
Phone (262) 510-0300

4131 W Loomis Rd
Ste 240
Milwaukee, WI 53221
Phone (262) 510-0300

N19W24133 Riverwood Dr
Ste 190
Waukesha, WI 53188
Phone (262) 510-0300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1124361142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD STE 240",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212072",
            "telephone_number": "262-510-0300",
            "fax_number": "262-510-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD STE 240",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212072",
            "telephone_number": "262-510-0300",
            "fax_number": "262-510-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 W Liebau Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923396",
            "country_code": "US",
            "telephone_number": "262-510-0300",
            "fax_number": "262-510-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N19W24133 Riverwood Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881103",
            "country_code": "US",
            "telephone_number": "262-510-0300",
            "fax_number": "262-510-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "RYAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WI",
            "license": "62787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039520",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF OPHTHALMOLOGY",
            "identifier": "000001467755",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14446651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE",
            "identifier": "62787",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.