Individual provider Active NPI

Ryan Kirk Law, PA-C

  • Medical Physician Assistant
  • West Richland, WA
National Provider Identifier
1245484781
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60051207 Issued in WA
Practice address
3950 Keene Rd.
West Richland, WA 99353
Phone
(509) 942-3627
Fax
(509) 628-8335
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60051207 WA Primary
Family Medicine Physician 207Q00000X PA60051207 WA
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

3950 Keene Rd.
West Richland, WA 99353

Mailing address

3900 S Zintel Way
Kennewick, WA 99338
Phone (509) 942-3627

Other identifiers 2

IdentifierTypeStateIssuer
0242614OtherWALABOR & INDUSTRIES
1245484781MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlaw1107619@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000119 WA Practitioner - Physician Assistant 3072673789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Urgent Care LLCGroup PAC ID 3577921881, 8 clinicians

Practice addresses (Care Compare)

1507 Bombing Range Rd
Suite a
West Richland, WA 99353-8001
Phone (509) 396-0803

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
86.28
Promoting interoperability
100
Improvement activities
40
Cost
78.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Urgent Care LLC CurrentSince Jan 1, 2026 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

945 Goethals Dr
Ste 300
Richland, WA 99352
Phone (509) 943-3196

1507 Bombing Range Rd
#A
West Richland, WA 99353
Phone (509) 396-0803

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.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245484781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KEENE RD.",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "99353",
            "telephone_number": "509-942-3627",
            "fax_number": "509-628-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "RYAN",
        "middle_name": "KIRK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60051207",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "PA60051207",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0242614",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245484781",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlaw1107619@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3950 Keene Rd.",
            "city": "West Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Richland, WA

Sources for this page

Verify at the official NPI Registry.