Active NPI
James P Ryan IV, MD
- Orthopaedic Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME42232
- Practice address
- 1405 S Orange Ave Ste 601
Orlando, FL 32806-2153 - Phone
- (407) 649-1097
- Fax
- (407) 841-3786
- NPI assigned
- Nov 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME42232 | FL | Primary |
Addresses
Primary practice location
1405 S Orange Ave Ste 601
Orlando, FL 32806-2153
Mailing address
1405 S Orange Ave Ste 601
Orlando, FL 32806-2153
Phone (407) 649-1097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068941600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Orthopedic Surgery
- Education
- University of Oklahoma College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1405 S Orange Ave
Suite 600
Orlando, FL 32806-2117
Phone (407) 649-1097
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42232 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas F Winters Jr MD PA | Current | Accepting new patients | |
| Durant Hma Physician Management, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1405 S Orange Ave
Ste 400
Orlando, FL 32806
Phone (407) 425-6226
1405 S Orange Ave
Ste 601
Orlando, FL 32806
Phone (407) 649-1097
1405 S Orange Ave
Ste 600
Orlando, FL 32806
Phone (407) 307-0006
Organizations & group practices 2
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Orlando, FL
- NPI 1225144488
-
- Internal Medicine Physician
- Durant, OK
- NPI 1043361116
Orthopaedic Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1205817632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE STE 601",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062153",
"telephone_number": "407-649-1097",
"fax_number": "407-841-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE STE 601",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062153",
"telephone_number": "407-649-1097",
"fax_number": "407-841-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JAMES",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME42232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068941600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.