Individual provider Active NPI

Patrick C Ryan, M.D.

  • Vascular Surgery Physician
  • Nashville, TN
National Provider Identifier
1194724864
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
38260 Issued in TN
Practice address
310 25TH Ave N Ste 100
Nashville, TN 37203-1515
Phone
(615) 321-6100
Fax
(877) 663-4069
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 38260 TN Primary
Surgery Physician 208600000X 38260 TN

Addresses

Primary practice location

310 25TH Ave N Ste 100
Nashville, TN 37203-1515

Mailing address

310 25TH Ave N Ste 100
Nashville, TN 37203-1515
Phone (615) 321-6100

Other identifiers 2

IdentifierTypeStateIssuer
3889645MedicaidTN
7100576980MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20040323000390 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 7012808736 Reassigns benefits to 1 organization
I20220331003104 KY Practitioner - Vascular Surgery 7012808736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Vascular and Vein Institute, PLLCGroup PAC ID 1557593456, 3 clinicians

Practice addresses (Care Compare)

310 25TH Ave N
Suite 100
Nashville, TN 37203-1515
Phone (615) 321-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.35 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
97.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal159
Leg revascularization (restoring blood flow)52
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38260TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Vascular and Vein Institute, PLLC Vascular Surgery CurrentSince Feb 11, 2014 Accepting new patients

Locations

1701 Ashley Cir
Ste 100
Bowling Green, KY 42104
Phone (270) 770-4500

165 Natchez Trace Ave
Ste 300
Bowling Green, KY 42103
Phone (270) 770-4500

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

310 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 321-6200

330 23rd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 327-7400

Interoperability endpoints

  • Direct secure messaging: patrickryan@nvavi-tn.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1194724864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031515",
            "telephone_number": "615-321-6100",
            "fax_number": "877-663-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031515",
            "telephone_number": "615-321-6100",
            "fax_number": "877-663-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "38260",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "38260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3889645",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100576980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.