Ryan J. Kissane, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME141919 Issued in FL

Practice address

21 Columbia St Ste 201
Orlando, FL 32806-1133

Phone

(321) 841-6600

Fax

(321) 841-4085

NPI assigned

Mar 4, 2015

Last updated

Aug 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 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 2

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Orlando, FL, CCN 107225
• Orlando Health Hospital, Orlando, FL, CCN 100006
• Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkissane26034@orlandohealth.medalliesdirect.net

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.

• Orlando Physicians Network Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1568693554

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Baptist Health Centers LLC

  dba BBH Primary and Specialty Care Network

  • Family Medicine Physician
  • Munford, AL
  • NPI 1427012566
  NPD
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• LHCG Cliii, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Orlando, FL
  • NPI 1093348997
  Care Compare affiliation
• Orlando Health Central, Inc.

  dba Health Central

  • General Acute Care Hospital
  • Ocoee, FL
  • NPI 1033475959
  Care Compare affiliation
• Orlando Health Central, Inc.

  dba Express Care

  • Urgent Care Clinic/Center
  • Ocoee, FL
  • NPI 1780022616

  Hospital

  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1265824999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLUMBIA ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133",
            "telephone_number": "321-841-6600",
            "fax_number": "321-841-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLUMBIA ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061133",
            "telephone_number": "321-841-6600",
            "fax_number": "321-841-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "RYAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "36284",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME141919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lyn Kise, M.D.
• Alice T Kishoiyian
• Rahul Kishore, MD
• Alexis Renee Kissane, MA, BCBA
• Lindsay Martin Kissane, MD
• Alexander Masaya Kitade, D.O.M.
• Kristen Kitchen
• Riqiea Kitchens
• Margaret Theresa Kithcart, P.T.
• Michael Kitiashvili, MD

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.

Verify at the official NPI Registry.