Active NPI
Ryan Christopher Pollina, M.D.
- Interventional Pain Medicine Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 4301092473
- Practice address
- 25311 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3301 - Phone
- (586) 498-2400
- NPI assigned
- Jan 3, 2011
- Last updated
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125057079 | IL | |
| Pain Medicine Physician | 208VP0000X | 4301092473 | MI | |
| Interventional Pain Medicine Physician | 208VP0014X | 4301092473 | MI | Primary |
Addresses
Primary practice location
25311 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3301
Mailing address
22101 Moross Rd
Suite 134, Professional Building Onc
Detroit, MI 48236-2148
Phone (313) 343-6351
Other practice location 1
22101 Moross Rd
Suite 134, Professional Building ONC
Detroit, MI 48236-2148
Phone (313) 343-6351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
25311 Little Mack Ave
Suite B
Saint Clair Shores, MI 48081-3301
Phone 5864982400111
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
- Beaumont Hospital - Grosse Pointe
- Henry Ford Macomb Hospital
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.92 of 100
- Quality
- 93.88
- Improvement activities
- 40
- Cost
- 69.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125057079 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Pain Specialists PC | Pain Medicine | Current | Accepting new patients |
| Great Lakes Physiatrists PC | Pain Medicine | Current | Accepting new patients |
| General Hosp Medical Assoc, P.C. | Past | Accepting new patients |
Locations
8301 Reliable Pkwy
Chicago, IL 60686
22101 Moross Rd
Ste 134
Detroit, MI 48236
Phone (313) 343-6351
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
22101 Moross Rd
Ste 100
Detroit, MI 48236
5669 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-7260
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
50505 Schoenherr Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 803-1220
25311 Little Mack Ave
Ste B
St Clr Shores, MI 48081
Phone (586) 498-2400
21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000
Interoperability endpoints
- rpollina994707@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Saint Clair Shores, MI
- NPI 1811096548
Pain Medicine
-
- Pain Medicine Physician
- Detroit, MI
- NPI 1568889442
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1790720134
-
- Cardiovascular Disease Physician
- Mount Clemens, MI
- NPI 1518000223
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1255635405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"address_2": "SUITE 134, PROFESSIONAL BUILDING ONC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-6351",
"fax_number": "313-417-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25311 LITTLE MACK AVE STE B",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813301",
"telephone_number": "586-498-2400"
}
],
"practiceLocations": [
{
"address_1": "22101 Moross Rd",
"address_2": "Suite 134, Professional Building ONC",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362148",
"country_code": "US",
"telephone_number": "313-343-6351",
"fax_number": "313-417-0527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLINA",
"first_name": "RYAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125057079",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MI",
"license": "4301092473",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "4301092473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.