Individual provider Active NPI

Ryan Jeffrey Phile, PA-C

  • Physician Assistant
  • Cleveland, OH
National Provider Identifier
1255673489
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003752 Issued in OH
Practice address
9500 Euclid Ave
Cleveland Clinic - Desk J1-5
Cleveland, OH 44195-0001
Phone
(216) 444-8526
Fax
(216) 445-6164
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.003752RX OH
Physician Assistant 363A00000X 50.003752 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland Clinic - Desk J1-5
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave
Cleveland Clinic - Desk L10
Cleveland, OH 44195-0001
Phone (216) 319-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130416000458 OH Practitioner - Physician Assistant 9133365240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

1813 Nagel Rd
Suite 500
Avon, OH 44011-6401
Phone (440) 695-6740

19895 Detroit Rd
Rocky River, OH 44116-1815
Phone (440) 356-5500

24700 Lorain Rd
North Olmsted, OH 44070-2068

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone (440) 366-9444

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.003752OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company CurrentSince Sep 19, 2022 Accepting new patients
Clinic Medical Services Company LLC CurrentSince Sep 19, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 2, 2013 Accepting new patients
Incare Health Solutions LLC PastSince Jan 12, 2020 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1255673489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "CLEVELAND CLINIC - DESK L10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-319-0694",
            "fax_number": "216-445-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "CLEVELAND CLINIC - DESK J1-5",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-8526",
            "fax_number": "216-445-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILE",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003752RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.