Ryan Thayer Novak, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

55735 Issued in MN

Practice address

1601 Golf Course Road
Grand Rapids, MN 55744-8648

Phone

(218) 326-5000

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, IA2 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 2

Specialty

Urology

Education

University of Minnesota Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winneshiek Medical CenterGroup PAC ID 4688582935, shared by 9 NPIs, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winnmed Hospital, Decorah, IA, CCN 161371

Merit-based Incentive Payment System (MIPS)

Final score

97.05 of 100Reported as apm

Quality

89.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Alii Health Center

  • Multi-Specialty Clinic/Center
  • Kailua Kona, HI
  • NPI 1285107698
  Medicare reassignment NPD
• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051
  Medicare reassignment NPD
• Winneshiek Medical Center

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863
  Medicare reassignment NPD
• Ali'I Health Center

  • Ambulatory Surgical Clinic/Center
  • Kailua Kona, HI
  • NPI 1144949967
  NPD
• Winneshiek Medical Center

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  NPD
• Alii Health Center

  • Urology Physician
  • Kailua Kona, HI
  • NPI 1225620321
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1235398751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GOLF COURSE ROAD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557448648",
            "telephone_number": "218-326-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GOLF COURSE ROAD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557448648",
            "telephone_number": "218-326-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "RYAN",
        "middle_name": "THAYER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "55735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwoods Dentistry PLLC
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• Northwoods Villa Inc.
• Northwoods Villa Inc.
• Northwoods Villa Inc. 2
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• Alexis Nicole Nyberg, PHARMD
• Peace Obeta
• Jennifer Oja, PA-C
• Jeffrey Olds, LICSW

• Urology Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.

Verify at the official NPI Registry.