Individual provider Active NPI

Ryan Kelly Crooks, MD

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1255627667
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME125442 Issued in FL
Practice address
580W 8TH St
Tower 1, Floor 9
Jacksonville, FL 32209
Phone
(904) 244-9934
Fax
(904) 244-9757
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 LL33804 SC
Neurology Physician 2084N0400X TRN17458 FL
Neurology Physician 2084N0400X ME125442 FL Primary

Addresses

Primary practice location

580W 8TH St
Tower 1, Floor 9
Jacksonville, FL 32209

Mailing address

580W 8TH St
Tower 1, Floor 9
Jacksonville, FL 32209
Phone (904) 244-9934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160621002506 FL Practitioner - Neurology 7315254034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

580 W 8TH St
Jacksonville, FL 32209-6533
Phone (904) 244-9390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL33804SCMDInternal Medicine Physician
ME125442FLMDNeurology Physician
TRN17458FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 18, 2016 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960

580 W 8th St
Fl 9
Jacksonville, FL 32209
Phone (904) 244-9092

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

15255 Max Leggett Pkwy
Ste 3600
Jacksonville, FL 32218
Phone (904) 383-1011

580 W 8th St
Fl 1
Jacksonville, FL 32209
Phone (904) 383-1022

Interoperability endpoints

  • Direct secure messaging: rcrooks69682@direct.shands.ufl.edu

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 4

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1255627667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580W 8TH ST",
            "address_2": "TOWER 1, FLOOR 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-9934",
            "fax_number": "904-244-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580W 8TH ST",
            "address_2": "TOWER 1, FLOOR 9",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-9934",
            "fax_number": "904-244-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "RYAN",
        "middle_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL33804",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "TRN17458",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME125442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.