Individual provider Active NPI

Ryan J Meiners, MD

  • Diagnostic Radiology Physician
  • Kankakee, IL
National Provider Identifier
1295791515
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-121952 Issued in IL
Practice address
350 N Wall St
Kankakee, IL 60901-2991
Phone
(815) 933-1671
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44913 WI
Vascular & Interventional Radiology Physician 2085R0204X 036-121952 IL
Diagnostic Radiology Physician 2085R0202X 036-121952 IL Primary

Addresses

Primary practice location

350 N Wall St
Kankakee, IL 60901-2991

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272

Other identifiers 1

IdentifierTypeStateIssuer
34845300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090310000573 IL Practitioner - Diagnostic Radiology 5193736502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians
Cira Michigan PCGroup PAC ID 7113355264, 89 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

10 Saint Clare CT
Washington, IL 61571-9239
Phone (309) 566-4062

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-1400

1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100

111 Spring St
Streator, IL 61364-3332
Phone (815) 673-2311

12701 W 143Rd St
Homer Glen, IL 60491-7715
Phone (708) 364-6337

1400 W Park St
Urbana, IL 61801-2334
Phone (309) 740-4272

1401 E 12TH St
Mendota, IL 61342-9216
Phone (815) 539-7461

1614 E Norris Dr
Ottawa, IL 61350-3681
Phone (815) 431-3274

17047 La Grange Rd
Orland Park, IL 60487-7227
Phone (815) 300-7764

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100

21 W624 Dorchester CT
Glen Ellyn, IL 60137-6412
Phone (906) 786-5707

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

2200 Fort Jesse Rd
Suite 100
Normal, IL 61761-6286
Phone (309) 661-6280

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522

2406 E Empire St
Bloomington, IL 61704-3630
Phone (309) 664-3161

2406 Empire St
Bloomington, IL 61704-3630
Phone (309) 740-4272

2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (309) 740-4272

3 Brooke LN
Barrington, IL 60010-9360
Phone (309) 740-4272

3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000

3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161

435 Maxine Dr
Morton, IL 61550-2498
Phone (309) 263-2424

500 W Romeo B Garrett Ave
Peoria, IL 61605-2301
Phone (309) 740-4272

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone (309) 683-2428

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-121952ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Aug 20, 2025 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Riverside Health System Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Riverside Health System CurrentSince Nov 22, 2022 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology Past Accepting new patients

Locations

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

114 W Stratford Dr
Ste E
Peoria, IL 61614
Phone (309) 740-4270

111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144

530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Organizations & group practices 7

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 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1295791515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WALL ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012991",
            "telephone_number": "815-933-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINERS",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "44913",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036-121952",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-121952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34845300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.