Individual provider Active NPI

Ryan Jamoua, M.D.

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
National Provider Identifier
1255695987
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301100962 Issued in MI
Practice address
1521 Gull Rd
Kalamazoo, MI 49048
Phone
(269) 226-7000
NPI assigned
Jun 27, 2012
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301100962 MI Primary

Addresses

Primary practice location

1521 Gull Rd
Kalamazoo, MI 49048

Mailing address

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815003307 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5395094957 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess HospitalGroup PAC ID 5294645750, 41 clinicians
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633
Phone (269) 381-3963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.69 of 100Reported as individual
Quality
92.55
Improvement activities
0
Cost
79.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Jul 16, 2018 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Jul 29, 2018 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jul 16, 2018 Accepting new patients
Promed Healthcare CurrentSince Jul 29, 2018 Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease Current Accepting new patients
Beacon Kalamazoo Inc CurrentSince Jul 29, 2018 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Medical Group Michigan Inc Cardiovascular Disease CurrentSince Jul 29, 2018 Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

360 E Chicago St
Ste 108
Coldwater, MI 49036
Phone (517) 279-2885

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

2520 Robert Jones Way
Kalamazoo, MI 49009
Phone (269) 375-0400

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7901 Angling Rd
Ste 8
Portage, MI 49024
Phone (269) 381-3963

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • Direct secure messaging: rjamoua365937@direct.hfhs.org

Organizations & group practices 9

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 6

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1255695987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-226-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "telephone_number": "269-226-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMOUA",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301100962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.