Individual provider Active NPI

Ryan Andrew McTaggart, MD

  • Vascular & Interventional Radiology Physician
  • Roanoke, VA
National Provider Identifier
1164640389
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD14960 Issued in RI
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME116783 OH
Diagnostic Radiology Physician 2085R0202X MD14960 RI
Vascular & Interventional Radiology Physician 2085R0204X MD14960 RI Primary

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5353

Other practice location 1

125 Metro Center Boulevard
Suite 2000
Warwick, RI 02886-1785
Phone (401) 432-2520

Other identifiers 1

IdentifierTypeStateIssuer
0093423MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI, MA, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20131119001792 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800022989 Reassigns benefits to 2 organizations
I20150605001990 RI Practitioner - Diagnostic Radiology 6800022989 Reassigns benefits to 8 organizations
I20250128002659 MA Practitioner - Diagnostic Radiology 6800022989 Reassigns benefits to 2 organizations
I20250921000054 DC Practitioner - Diagnostic Radiology 6800022989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Northern Virginia Radiology Consultants, PLLCGroup PAC ID 8426117458, 27 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

160 Adams Point Rd
Barrington, RI 02806-5045
Phone (407) 200-2355

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (517) 481-2442

19121 Patriot Way
West Greenwich, RI 02817-6025
Phone (407) 200-2355

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116783OHMDDiagnostic Radiology Physician
MD14960RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Aug 24, 2024 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Nov 24, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Nov 11, 2020 Accepting new patients
Rhode Island Hospital CurrentSince Nov 11, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 12, 2024 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 12, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jun 26, 2022 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jan 2, 2026 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Carilion Medical Center CurrentSince Aug 24, 2024 Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Carilion Medical Center CurrentSince Aug 24, 2024 Accepting new patients

Locations

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

450 Veterans Memorial Pkwy
Bldg 2
East Providence, RI 02914
Phone (401) 435-3041

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

593 Eddy St
Bldg 2ND
Providence, RI 02903
Phone (401) 444-4076

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1164640389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Metro Center Boulevard",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861785",
            "country_code": "US",
            "telephone_number": "401-432-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCTAGGART",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "ME116783",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD14960",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "RI",
            "license": "MD14960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093423",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.