NPIMap

Individual provider Active NPI

Ryan Allan Pinnell, D.O

  • Surgery Physician
  • Glendale, AZ
National Provider Identifier
1174818173
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006954 Issued in AZ
Practice address
7330 N 99TH Ave Ste 200
Glendale, AZ 85307-3018
Phone
(602) 406-3400
Fax
(602) 406-0270
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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
Surgery Physician 208600000X 006954 AZ Primary

Addresses

Primary practice location

7330 N 99TH Ave Ste 200
Glendale, AZ 85307-3018

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201002087 AZ Practitioner - General Surgery 4082994363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

18700 N 64TH Dr
Suite 301
Glendale, AZ 85308-7114
Phone (602) 674-6582

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006954AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Apr 14, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Apr 14, 2023 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Privia Medical Group Arizona, LLC Surgery Past Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (623) 561-5437

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

Interoperability endpoints

  • Direct secure messaging: ryan.pinnell.1@600.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1174818173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 99TH AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073018",
            "telephone_number": "602-406-3400",
            "fax_number": "602-406-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNELL",
        "first_name": "RYAN",
        "middle_name": "ALLAN",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "006954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.