Individual provider Active NPI

Ryan Scott Woodman, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Davis, CA
National Provider Identifier
1184988644
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20A16863 Issued in CA
Practice address
2660 W Covell Blvd
Davis, CA 95616-5645
Phone
(530) 747-3000
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 20A16863 CA Primary

Addresses

Primary practice location

2660 W Covell Blvd
Davis, CA 95616-5645

Mailing address

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

Other practice location 1

1 Hospital Dr
Ma421, Dc043.00
Columbia, MO 65212-0001
Phone (573) 884-1606

Other practice location 2

500 University Ave Ste 220
Sacramento, CA 95825-6525
Phone (916) 286-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180928001628 MO Practitioner - EndocrinologyPractitioner - Internal Medicine 1658508122
I20190925002068 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 1658508122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 University Ave
Suite 220
Sacramento, CA 95825-6525
Phone (916) 286-8700

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16863CAMDDentist
20A16863CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Regents of the University of California Single Specialty Current Accepting new patients
Regents of the Univ of Ca Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Regents of the Univ of Ca Single Specialty Current Accepting new patients
Regents of the University of California Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Regents of the Univ of Ca Single Specialty Past Accepting new patients

Locations

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1184988644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_2": "MA421, DC043.00",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-884-1606",
            "fax_number": "573-884-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256525",
            "country_code": "US",
            "telephone_number": "916-286-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODMAN",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "20A16863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.