Individual provider Active NPI

Ryan Donald Patterson, M.D.

  • Interventional Cardiology Physician
  • Riverhead, NY
National Provider Identifier
1225488497
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
319128 Issued in NY
Practice address
951 Roanoke Ave
Riverhead, NY 11901-2724
Phone
(731) 727-7773
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 319128 NY
Cardiovascular Disease Physician 207RC0000X 319128 NY
Interventional Cardiology Physician 207RI0011X 319128 NY Primary

Addresses

Primary practice location

951 Roanoke Ave
Riverhead, NY 11901-2724

Mailing address

951 Roanoke Ave
Riverhead, NY 11901-2724
Phone (631) 727-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240904000441 NY Practitioner - Cardiovascular Disease (Cardiology) 3870869852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peconic Cardiology PCGroup PAC ID 0143568717, 19 clinicians

Practice addresses (Care Compare)

951 Roanoke Ave
Riverhead, NY 11901-2724
Phone (631) 727-7773

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319128NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peconic Cardiology, PC Cardiovascular Disease CurrentSince Aug 21, 2024 Accepting new patients
North Shore-Lij Medical PC Internal Medicine Past Accepting new patients

Locations

1001 Franklin Ave
Garden City, NY 11530
Phone (516) 240-8700

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

889 Harrison Ave
Riverhead, NY 11901
Phone (631) 828-3036

951 Roanoke Ave
Riverhead, NY 11901
Phone (631) 369-5005

889 Harrison Ave
Fl 4
Riverhead, NY 11901

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rpatterson64417@northwell.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 9

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1225488497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "631-727-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012724",
            "telephone_number": "731-727-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RYAN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "319128",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "319128",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "319128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.