Individual provider Active NPI

Grace Y Ryu, MD

  • Allergy & Immunology Physician
  • Columbus, OH
National Provider Identifier
1215907480
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-06-1986 Issued in OH
Practice address
8080 Ravines Edge CT
Columbus, OH 43235-5424
Phone
(614) 846-5944
Fax
(614) 846-6504
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35-06-1986 OH Primary

Addresses

Primary practice location

8080 Ravines Edge CT
Columbus, OH 43235-5424

Mailing address

9800 Shelbyville Rd Ste 220
Louisville, KY 40223-2992
Phone (024) 298-5855

Other identifiers 2

IdentifierTypeStateIssuer
0872435MedicaidOH
030005124OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100615000951 OH Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9032109608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

8080 Ravines Edge CT
Suite 100
Columbus, OH 43235-5424
Phone (800) 999-1249

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4201OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Nov 23, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

3 Health Dr
Chillicothe, OH 45601
Phone (614) 889-5001

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

8080 Ravines Edge Ct
Ste 100
Columbus, OH 43235
Phone (614) 846-5944

6275 E Broad St
Ste 100
Columbus, OH 43213
Phone (614) 759-4730

8080 Ravines Edge Ct
Columbus, OH 43235
Phone (614) 846-5944

6252 Wilmington Pike
Ste B
Dayton, OH 45459
Phone (937) 234-4919

1816 Columbus Pike
Ste 70
Delaware, OH 43015
Phone (740) 371-9721

3915 Berry Leaf Ln
Hilliard, OH 43026
Phone (614) 771-9030

1500 E Main St
Ste 2H
Lancaster, OH 43130

370 Cline Ave
Mansfield, OH 44907
Phone (419) 756-0011

209 Rivers Edge
Milford, OH 45150
Phone (513) 274-2230

1524 W Church St
Newark, OH 43055
Phone (740) 344-9484

Interoperability endpoints

  • Direct secure messaging: ryu.grace.013.0170024@faa.meditab.direct-ci.com

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1215907480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "024-298-5855",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-846-5944",
            "fax_number": "614-846-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "GRACE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-06-1986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0872435",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030005124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.