NPIMap

Individual provider Active NPI

Ryan Francis Moncman, D.O.

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1225420755
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
19057 Issued in FL
Practice address
265 E Rollins St Ste 12000
Orlando, FL 32804-5519
Phone
(407) 975-0200
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 19057 FL Primary

Addresses

Primary practice location

265 E Rollins St Ste 12000
Orlando, FL 32804-5519

Mailing address

265 E Rollins St Ste 12000
Orlando, FL 32804-5519
Phone (407) 975-0200

Other practice location 1

4190 City Ave
Philadelphia, PA 19131-1626
Phone (717) 460-1078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805000032 FL Practitioner - Neurosurgery 5890177927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1930 NE 47TH St
205 Holy Cross Medical Group
Ft Lauderdale, FL 33308-7728
Phone (954) 491-8981

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion179
Laminectomy or laminotomy (partial removal of spine bones)123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19057FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc CurrentSince May 17, 2024 Accepting new patients
Holy Cross Hospital, Inc CurrentSince May 17, 2024 Accepting new patients
Fairbanks Partners LLC Neurological Surgery CurrentSince Sep 1, 2022 Accepting new patients
Fairbanks Partners LLC Neurological Surgery CurrentSince Sep 1, 2022 Accepting new patients

Locations

1930 NE 47th St
Ste 205
Ft Lauderdale, FL 33308
Phone (954) 491-8981

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

265 E Rollins St
Ste 12000
Orlando, FL 32804

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rmoncman3399905@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD

Organizations & group practices 4

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 5

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1225420755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 12000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045519",
            "telephone_number": "407-975-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 12000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045519",
            "telephone_number": "407-975-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 City Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "717-460-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCMAN",
        "first_name": "RYAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "19057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.