Active NPI
Daniel Lev Ryklin, MD
- Interventional Pain Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 36963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z117472 | Other | AZ | MEDICARE PTAN |
| 242374 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain and Spine Institute PLLC | Interventional Pain Medicine | Current | 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
- 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.
-
- Interventional Pain Medicine Physician
- Mesa, AZ
- NPI 1316147242
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.