Individual provider Active NPI

Daniel Lev Ryklin, MD

  • Interventional Pain Medicine Physician
  • Mesa, AZ
National Provider Identifier
1194929729
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
36963 Issued in AZ
Practice address
2045 S Vineyard
Suite 131
Mesa, AZ 85210-6889
Phone
(480) 986-7246
Fax
(480) 986-7252
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 36963 AZ
Interventional Pain Medicine Physician 208VP0014X 36963 AZ Primary

Addresses

Primary practice location

2045 S Vineyard
Suite 131
Mesa, AZ 85210-6889

Mailing address

4340 E Indian School Rd
Suite 21473
Phoenix, AZ 85018-5360
Phone (480) 986-7246

Other identifiers 2

IdentifierTypeStateIssuer
Z117472OtherAZMEDICARE PTAN
242374MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000838 AZ Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8325131188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
R Franklin University of Med & Sci/Chicago Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain and Spine Institute PLLCGroup PAC ID 2769575497, 3 clinicians

Practice addresses (Care Compare)

2045 S Vineyard
Suite 131
Mesa, AZ 85210-6893
Phone (480) 986-7246

Merit-based Incentive Payment System (MIPS)

Final score
78.02 of 100Reported as group
Quality
64.01
Improvement activities
40
Cost
74.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain and Spine Institute PLLC Interventional Pain Medicine CurrentSince Sep 1, 2007 Accepting new patients

Locations

10238 E Hampton Ave
Ste 205
Mesa, AZ 85209
Phone (480) 354-6463

7525 E Broadway Rd
Ste 1
Mesa, AZ 85208
Phone (480) 839-7627

2045 S Vineyard
Ste 131
Mesa, AZ 85210
Phone (480) 557-7246

4340 E Indian School Rd
Ste 21473
Phoenix, AZ 85018

21321 E Ocotillo Rd
Ste 120
Queen Creek, AZ 85142
Phone (480) 986-7246

1492 S Mill Ave
Ste 212
Tempe, AZ 85281
Phone (480) 410-4128

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJDAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1194929729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD",
            "address_2": "SUITE 21473",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185360",
            "telephone_number": "480-986-7246",
            "fax_number": "480-986-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "SUITE 131",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-986-7246",
            "fax_number": "480-986-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKLIN",
        "first_name": "DANIEL",
        "middle_name": "LEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "36963",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "36963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z117472",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242374",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.