Individual provider Active NPI

Ryan P McDonald, MD

  • Nephrology Physician
  • Layton, UT
National Provider Identifier
1194915561
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7861247-1205 Issued in UT
Practice address
2132 N 1700 W
Suite 110
Layton, UT 84041-7057
Phone
(801) 779-3500
Fax
(801) 779-3508
NPI assigned
Jul 31, 2007
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7861247-1205 UT Primary

Addresses

Primary practice location

2132 N 1700 W
Suite 110
Layton, UT 84041-7057

Mailing address

2132 N 1700 W
Suite 110
Layton, UT 84041-7057
Phone (801) 779-3500

Other identifiers 2

IdentifierTypeStateIssuer
1091081MedicaidLA
1194915561MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.mcdonald.1@14360.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT, AK, TX4 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
I20100622000552 ID Practitioner - Nephrology 6709917685 Reassigns benefits to 1 organization
I20110225000176 UT Practitioner - NephrologyPractitioner - Internal Medicine 6709917685 Reassigns benefits to 4 organizations
I20240111004915 AK Practitioner - Nephrology 6709917685 Reassigns benefits to 2 organizations
I20251227000278 TX Practitioner - Nephrology 6709917685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians
Kidney and Hypertension Clinic of Alaska IncGroup PAC ID 0840299186, 14 clinicians
Utah Kidney Clinic LLCGroup PAC ID 7719306091, 6 clinicians
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

164 S
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

4015 Lake Otis Pkwy
Suite 201
Anchorage, AK 99508-5235
Phone (907) 375-5200

480 N 100
Suite 110
Logan, UT 84321-6674
Phone (435) 932-2038

6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Kidney Clinic LLC Nephrology CurrentSince Mar 15, 2022 Accepting new patients
Ogden Clinic Specialty Services LLC CurrentSince May 1, 2023 Accepting new patients
Bear Lake County Memorial Hospital Internal Medicine CurrentSince May 3, 2018 Accepting new patients
Tanner Memorial Clinic Internal Medicine Current Accepting new patients
Bear Lake County Memorial Hospital CurrentSince May 3, 2018 Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2022 Accepting new patients
Rocky Mountain Kidney Care Professional Service Corp Nephrology CurrentSince Dec 1, 2025 Accepting new patients
Ogden Clinic PC Internal Medicine Current Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2022 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Dec 20, 2014 Accepting new patients
Dialysis Associates of Alaska, LLC Nephrology CurrentSince Jan 1, 2024 Accepting new patients
Kidney and Hypertension Clinic of Alaska, Inc Nephrology CurrentSince Jan 1, 2024 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Dec 20, 2014 Accepting new patients
Gammawest Brachytherapy, LLC Past Accepting new patients
Nephrology & Hypertension Associates of Alaska, PC Nephrology PastSince Jan 1, 2024 Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
Rosenberg Cooley Metcalf LC Past Accepting new patients
Utah Kidney Institute, LLC Nephrology PastSince Feb 6, 2022 Accepting new patients

Locations

3260 Providence Dr
Ste C431
Anchorage, AK 99508
Phone (907) 212-4840

4015 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508

4015 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 771-3500

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

1301 E Ridge Rd
Ste Bc
McAllen, TX 78503

2000 S Cynthia St
McAllen, TX 78503
Phone (956) 972-3374

1621 N Central Expy
#200
Richardson, TX 75080
Phone (206) 223-5001

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

480 N 100 E
Logan, UT 84321
Phone (435) 932-2038

480 N 100 E
Ste 110
Logan, UT 84321
Phone (435) 932-2038

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

4345 Harrison Blvd
#101
Ogden, UT 84403
Phone (385) 350-8500

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

4700 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-3300

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

2038 W 1900 S
Syracuse, UT 84075
Phone (801) 773-7899

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/27381/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA
  • Direct secure messaging: rmcdonald642190@direct.ochin.org
  • Direct secure messaging: ryan.mcdonald.1@14795.direct.athenahealth.com
  • Direct secure messaging: ryan.mcdonald.1@19427.direct.athenahealth.com
  • Direct secure messaging: ryan.mcdonald.p1@direct.tannerclinic.nextgenshare.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 7

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1194915561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W",
            "address_2": "SUITE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417057",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W",
            "address_2": "SUITE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417057",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "7861247-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091081",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194915561",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.mcdonald.1@14360.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2132 N 1700 W",
            "address_2": "Suite 110",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840417057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.