Active NPI
Ryan Kiser, MD
- Pediatric Hematology & Oncology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 35517
- Practice address
- 1200 Childrens Ave # 14500
Oklahoma City, OK 73104-4637 - Phone
- (405) 271-5312
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2017-0327 | NM | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 35517 | OK | Primary |
Addresses
Primary practice location
1200 Childrens Ave # 14500
Oklahoma City, OK 73104-4637
Mailing address
933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120
Other practice location 1
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35517 | OK | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Roswell Clinic Corp | Current | Accepting new patients | |
| Roswell Clinic Corp | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1200 Childrens Ave
Ste 10A
Oklahoma City, OK 73104
Phone (405) 271-4412
1200 Childrens Ave
#14500
Oklahoma City, OK 73104
Phone (405) 271-5312
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Durable Medical Equipment & Medical Supplies
- Roswell, NM
- NPI 1396958633
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1144751165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "SUITE 2222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-3120",
"fax_number": "505-272-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CHILDRENS AVE # 14500",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044637",
"telephone_number": "405-271-5312"
}
],
"practiceLocations": [
{
"address_1": "2211 Lomas Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871062719",
"country_code": "US",
"telephone_number": "505-272-5551",
"fax_number": "505-272-6845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISER",
"first_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2017-0327",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "OK",
"license": "35517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.