Individual provider Active NPI

Ryan Walker Crawford, M.D.

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1154509339
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
051760 Issued in CT
Practice address
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone
(503) 797-6356
Fax
(503) 292-0346
NPI assigned
Feb 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 341225 MA
Diagnostic Radiology Physician 2085R0202X 051760 CT Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

9400 SW Barnes Rd
Suite 150
Portland, OR 97225-6608
Phone (503) 292-9108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090623000185 MA Practitioner - Diagnostic Radiology 6608927272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051760CTMDDiagnostic Radiology Physician
341225MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Norwalk Radiology Consultants PC Diagnostic Radiology Past Accepting new patients
Bay Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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 3

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": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1154509339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SW BARNES RD",
            "address_2": "SUITE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256608",
            "telephone_number": "503-292-9108",
            "fax_number": "503-292-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-797-6356",
            "fax_number": "503-292-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "RYAN",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-09",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "341225",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "051760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.