Individual provider Active NPI

Ryan Christopher Kish, D.P.M.

  • Podiatrist
  • Maumee, OH
National Provider Identifier
1124463658
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003772 Issued in OH
Practice address
609 Ford St
Maumee, OH 43537-1947
Phone
(419) 893-5539
NPI assigned
May 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 36003772 OH Primary

Addresses

Primary practice location

609 Ford St
Maumee, OH 43537-1947

Mailing address

609 Ford St
Maumee, OH 43537-1947
Phone (419) 893-5539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711002436 OH Practitioner - Podiatry 4688976293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Oakland College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Associates of Northwest Ohio, LLCGroup PAC ID 5496720906, 7 clinicians

Practice addresses (Care Compare)

3905 W Sylvania Ave
Toledo, OH 43623-4426
Phone (419) 474-1210

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue103
Removal of skin lesions24
Removal of nail tissue1310
Removal or shaving of skin growth189
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist Current Accepting new patients
Podiatric Associates of Northwest Ohio, LLC CurrentSince Jul 11, 2016 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist CurrentSince Jul 11, 2016 Accepting new patients

Locations

609 Ford St
Maumee, OH 43537
Phone (419) 893-5539

3905 W Sylvania Ave
Toledo, OH 43623
Phone (419) 474-1210

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1124463658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FORD ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371947",
            "telephone_number": "419-893-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FORD ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371947",
            "telephone_number": "419-893-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.