Individual provider Active NPI

James P Ryan IV, MD

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1205817632
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME42232 Issued in FL
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

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
068941600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001604 FL Practitioner - Orthopedic Surgery 2567367154 Reassigns benefits to 1 organization

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
Thomas F Winters Jr MD PAGroup PAC ID 7517929771, 2 clinicians

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

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME42232FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas F Winters Jr MD PA CurrentSince Feb 19, 2018 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.