Individual provider Active NPI

Ryan Anthony Lawless, MD

  • Surgical Critical Care Physician
  • Orlando, FL
National Provider Identifier
1285891762
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME130001 Issued in FL
Practice address
1335 Sligh Blvd
Ste 200
Orlando, FL 32806-1110
Phone
(407) 649-6884
Fax
(407) 245-7059
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME130001 FL
Surgical Critical Care Physician 2086S0102X 19189 CO
Surgical Critical Care Physician 2086S0102X P6991 TX
Surgical Critical Care Physician 2086S0102X ME130001 FL Primary

Addresses

Primary practice location

1335 Sligh Blvd
Ste 200
Orlando, FL 32806-1110

Mailing address

1335 Sligh Blvd
Ste 200
Orlando, FL 32806-1110
Phone (407) 649-6884

Other practice location 1

777 Bannock St # Mc0206
Denver Health Department of Surgery
Denver, CO 80204-4507
Phone (303) 602-1839

Other identifiers 3

IdentifierTypeStateIssuer
118949200MedicaidFL
327051403 (MDACC)MedicaidTX
8EC499OtherTXBCBS (MDACC)

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rlawless20779@direct.dhha.org Health Information Exchange (HIE)
Direct Messaging Address providerenrollment@orlandohealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, 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

Enrollment IDStateProvider typePAC IDDetails
I20160219000806 CO Practitioner - General Surgery 6800033705 Reassigns benefits to 3 organizations
I20230803001961 FL Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6800033705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1335 Sligh Blvd
Suite 200
Orlando, FL 32806-3901
Phone (407) 649-6884

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19189COMDPharmacist
ME130001FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 10, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 10, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jan 1, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 25, 2016 Accepting new patients
Orlando Health Medical Group Inc Surgical Critical Care CurrentSince Aug 1, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 25, 2016 Accepting new patients
Good Samaritan Medical Center LLC Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

815 Court St
Ste 4
Jackson, CA 95642
Phone (209) 217-5084

777 Bannock St
#206
Denver, CO 80204
Phone (303) 436-4029

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

300 Exempla Cir
Ste 400
Lafayette, CO 80026
Phone (303) 673-1944

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

1335 Sligh Blvd
Ste 200
Orlando, FL 32806
Phone (407) 649-6884

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rlawless20779@direct.dhha.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1285891762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD",
            "address_2": "STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD",
            "address_2": "STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St # Mc0206",
            "address_2": "Denver Health Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "303-602-1839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME130001",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CO",
            "license": "19189",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "P6991",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME130001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118949200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327051403  (MDACC)",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (MDACC)",
            "identifier": "8EC499",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlawless20779@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St # Mc0206",
            "address_2": "Denver Health Department of Surgery",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@orlandohealth.com",
            "affiliation": "N",
            "address_1": "1335 Sligh Blvd",
            "address_2": "Ste 200",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328061110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.