Active NPI
Grace Y Ryu, MD
- Allergy & Immunology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 35-06-1986
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0872435 | Medicaid | OH | |
| 030005124 | Other | OH | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Cincinnati College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8080 Ravines Edge CT
Suite 100
Columbus, OH 43235-5424
Phone (800) 999-1249
Hospital & facility affiliations
- Licking Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4201 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | 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
- 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.