Individual provider Active NPI

Ryan Kilpatrick Misek, D.O.

  • Emergency Medicine Physician
  • Crown Point, IN
National Provider Identifier
1275830572
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02004097A Issued in IN
Practice address
1201 S Main St
Crown Point, IN 46307-8481
Phone
(219) 757-6310
NPI assigned
Feb 22, 2011
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02004097A IN Primary

Addresses

Primary practice location

1201 S Main St
Crown Point, IN 46307-8481

Mailing address

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130829000285 IN Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 5496998056 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Clarksville Physician Services PC CurrentSince Jan 3, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Pic Indiana PC CurrentSince Jun 17, 2013 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Jan 21, 2020 Accepting new patients
Fastrac Medical, P.C. Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: rmisek137665@direct.franciscanalliance.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1275830572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISEK",
        "first_name": "RYAN",
        "middle_name": "KILPATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004097A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.