Individual provider Active NPI

Ryan Luong, M.D.

  • Family Medicine Physician
  • Gardner, KS
National Provider Identifier
1225320583
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-37555 Issued in KS
Practice address
907 E Lincoln LN
Gardner, KS 66030-3701
Phone
(913) 856-1369
Fax
(913) 856-1368
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-37555 KS Primary
Emergency Medicine Physician 207P00000X MD-43350 IA
Family Medicine Physician 207Q00000X V7749 TX
Family Medicine Physician 207Q00000X C200896 CA
Family Medicine Physician 207Q00000X MD-25144 HI
Family Medicine Physician 207Q00000X 2016014773 MO

Addresses

Primary practice location

907 E Lincoln LN
Gardner, KS 66030-3701

Mailing address

2620 E Central Ave
Wichita, KS 67214-4609
Phone (316) 686-5555

Other practice location 1

8144 NW Prairie View Rd
Kansas City, MO 64151-1020
Phone (816) 505-3669

Other practice location 2

810 Highway 6 S Ste 117
Houston, TX 77079-4052
Phone (713) 913-3689

Other practice location 3

3330 Harbor Blvd Ste 205
Costa Mesa, CA 92626-1502
Phone (714) 882-1369

Other practice location 4

603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-3121

Other practice location 5

2620 E Central Ave
Wichita, KS 67214-4609
Phone (316) 686-5555

Other practice location 6

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Phone (808) 855-3669

Other identifiers 2

IdentifierTypeStateIssuer
201106000BMedicaidKS
200026663MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150113001423 KS Practitioner - Family PracticePractitioner - Emergency Medicine 0941449771 Reassigns benefits to 2 organizations
I20160525002335 IA Practitioner - Family Practice 0941449771 Reassigns benefits to 6 organizations
I20160914001312 MO Practitioner - Emergency MedicinePractitioner - Family Practice 0941449771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grisell Memorial Hospital District 1Group PAC ID 3577474824, shared by 4 NPIs, 7 clinicians
First Point Urgent Care Inc.Group PAC ID 1355672320, 2 clinicians

Practice addresses (Care Compare)

210 S Vermont Ave
Ransom, KS 67572-9525
Phone (785) 731-2231

907 E Lincoln LN
Gardner, KS 66030-3701
Phone (913) 856-1369

Hospital & facility affiliations

  • Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388
  • CHI Health - Mercy Corning Hospital, Corning, IA, CCN 161304
  • Grisell Memorial Hospital Hospital, Ransom, KS, CCN 171300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-43350IAMDEmergency Medicine Physician
C200896CAMDFamily Medicine Physician
MD-25144HIMDFamily Medicine Physician
04-37555KSMDFamily Medicine Physician
V7749TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Point Urgent Care Inc. CurrentSince Nov 26, 2024 Accepting new patients
Vigilias LLC CurrentSince Sep 17, 2023 Accepting new patients
Hermann Area Hospital District CurrentSince Nov 5, 2018 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Hermann Area Hospital District Family Medicine CurrentSince Nov 5, 2018 Accepting new patients
First Point Urgent Care Mo Inc. Family Medicine Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Sep 8, 2018 Accepting new patients
Alegent Health - Mercy Hospital, Corning, Iowa CurrentSince Sep 13, 2024 Accepting new patients
Knoxville Community Hospital Inc Family Medicine CurrentSince May 28, 2016 Accepting new patients
Spencer Municipal Hospital CurrentSince Sep 8, 2018 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Family Medicine Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Knoxville Community Hospital Inc Emergency Medicine CurrentSince May 28, 2016 Accepting new patients
Pocahontas Community Hospital CurrentSince Jun 9, 2016 Accepting new patients
Alegent Health Mercy Hospital Corning, Iowa Emergency Medicine CurrentSince Sep 13, 2024 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Current Accepting new patients
Grisell Memorial Hospital District 1 Past Accepting new patients
Grisell Memorial Hospital District 1 Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Grisell Memorial Hospital District 1 Past Accepting new patients

Locations

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

907 E Lincoln Ln
Gardner, KS 66030
Phone (913) 856-1369

210 S Vermont Ave
Ransom, KS 67572
Phone (785) 731-2231

4704 E Oakland
Wichita, KS 67218

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b7d97c24-76cc-4a74-827a-3cd7c83065ba/

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1225320583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144609",
            "telephone_number": "316-686-5555",
            "fax_number": "316-686-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LINCOLN LN",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660303701",
            "telephone_number": "913-856-1369",
            "fax_number": "913-856-1368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8144 NW Prairie View Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641511020",
            "country_code": "US",
            "telephone_number": "816-505-3669",
            "fax_number": "816-505-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Highway 6 S Ste 117",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770794052",
            "country_code": "US",
            "telephone_number": "713-913-3689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Harbor Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926261502",
            "country_code": "US",
            "telephone_number": "714-882-1369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Rosary Dr",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "IA",
            "postal_code": "508411683",
            "country_code": "US",
            "telephone_number": "641-322-3121",
            "fax_number": "641-322-4872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144609",
            "country_code": "US",
            "telephone_number": "316-686-5555",
            "fax_number": "316-686-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Ala Moana Blvd Ste 7400",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134902",
            "country_code": "US",
            "telephone_number": "808-855-3669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-37555",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-43350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V7749",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C200896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-25144",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016014773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106000B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026663",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

Verify at the official NPI Registry.