NPIMap

Individual provider Active NPI

Ryan Gianatasio, M.D.

  • Vascular Neurology Physician
  • Rapid City, SD
National Provider Identifier
1144489550
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
14259 Issued in SD
Practice address
677 Cathedral Dr
Rapid City, SD 57701-6018
Phone
(605) 755-4150
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P3532 TX
Vascular Neurology Physician 2084V0102X 14259 SD Primary
Vascular Neurology Physician 2084V0102X 83282 SC
Vascular Neurology Physician 2084V0102X 260100 NY
Vascular Neurology Physician 2084V0102X MD481374 PA

Addresses

Primary practice location

677 Cathedral Dr
Rapid City, SD 57701-6018

Mailing address

677 Cathedral Dr
Rapid City, SD 57701-6018
Phone (631) 813-6620

Other practice location 1

205 S Front St Fl 6
Harrisburg, PA 17104-1619
Phone (717) 988-9370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgianatasio246636@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230620003249 SD Practitioner - Neurology 7315187895 Reassigns benefits to 1 organization
I20230630001571 PA Practitioner - Neurology 7315187895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 200
Rapid City, SD 57701-7389
Phone (605) 755-4150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3532TXMDNeurology Physician
260100NYMDVascular Neurology Physician
MD481374PAMDVascular Neurology Physician
14259SDMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Neurological Surgery Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 19, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 24, 2023 Accepting new patients
Piedmont Physician Network LLC CurrentSince Nov 9, 2019 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince May 24, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 19, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

205 S Front St
Harrisburg, PA 17104
Phone (717) 231-8360

205 S Front St
Fl 8
Harrisburg, PA 17104
Phone (717) 231-8810

205 S Front St
Fl 6
Harrisburg, PA 17104
Phone (717) 231-8343

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: rgianatasio.134138@regionalhealth.sdhealthlink.net
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 7

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 12

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1144489550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016018",
            "telephone_number": "631-813-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016018",
            "telephone_number": "605-755-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Front St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041619",
            "country_code": "US",
            "telephone_number": "717-988-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANATASIO",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P3532",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SD",
            "license": "14259",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SC",
            "license": "83282",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "260100",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PA",
            "license": "MD481374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgianatasio246636@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "205 S Front St Fl 6",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.