Individual provider Active NPI

Maxwell Ryan Cretcher, D.O.

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
National Provider Identifier
1255863973
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
U6937 Issued in TX
Practice address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone
(210) 916-2754
NPI assigned
Mar 31, 2017
Last updated
May 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 98314 GA
Diagnostic Radiology Physician 2085R0202X 05714 KY
Diagnostic Radiology Physician 2085R0202X OS20752 FL
Diagnostic Radiology Physician 2085R0202X 22922 CA
Diagnostic Radiology Physician 2085R0202X 340302 LA
Diagnostic Radiology Physician 2085R0202X 02007569A IN
Diagnostic Radiology Physician 2085R0202X 5101027923 MI
Diagnostic Radiology Physician 2085R0202X DO2025-0007 NM
Diagnostic Radiology Physician 2085R0202X U6937 TX
Diagnostic Radiology Physician 2085R0202X OP61510497 WA
Diagnostic Radiology Physician 2085R0202X 327321 NY
Vascular & Interventional Radiology Physician 2085R0204X U6937 TX Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, NY, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240214000683 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6103194964 Reassigns benefits to 18 organizations
I20240417003759 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6103194964 Reassigns benefits to 1 organization
I20241106001653 NY Practitioner - Interventional Radiology 6103194964 Reassigns benefits to 1 organization
I20241106003086 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6103194964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (615) 312-0600

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

17003 Barker Path
San Antonio, TX 78247-2215
Phone (615) 312-0600

300 E 5TH Ave
Spokane, WA 99202-1334

311 S L St
Tacoma, WA 98405-3720

3719 Coggeshall LN
San Antonio, TX 78257-5079
Phone (281) 870-4592

400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

8 Ancient BND
San Antonio, TX 78248-1637
Phone (615) 312-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.28 of 100Reported as group
Quality
91.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20752FLMDEndocrinology, Diabetes & Metabolism Physician
98314GAMDDiagnostic Radiology Physician
02007569AINMDDiagnostic Radiology Physician
340302LAMDDiagnostic Radiology Physician
5101027923MIMDDiagnostic Radiology Physician
DO2025-0007NMMDDiagnostic Radiology Physician
U6937TXMDVascular & Interventional Radiology Physician
22922CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 9, 2024 Accepting new patients
GMG Health Systems Associates PA CurrentSince Jan 24, 2024 Accepting new patients
Multicare Health System CurrentSince Oct 18, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 17, 2026 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince May 2, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
Multicare Health System CurrentSince Oct 18, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 13, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Aug 5, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 6, 2025 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Apr 7, 2025 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jul 5, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
Georgia Radiology Imaging Consultants, LLC Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PLLC Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 50)

1937 Momentum Pl
Chicago, IL 60689

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

210 N Main St
Morgantown, KY 42261
Phone (270) 526-3137

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 30

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.

View all 30

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1255863973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETCHER",
        "first_name": "MAXWELL",
        "middle_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "98314",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "05714",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS20752",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "22922",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "340302",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02007569A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101027923",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "DO2025-0007",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U6937",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61510497",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "327321",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "U6937",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.