Individual provider Active NPI

Ryan Benton Lundquist, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1316196041
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME120830 Issued in FL
Practice address
14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705
Phone
(239) 936-2316
Fax
(239) 936-3099
NPI assigned
Sep 18, 2008
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 28336 NV
Diagnostic Radiology Physician 2085R0202X DR.0054314 CO
Diagnostic Radiology Physician 2085R0202X ME120830 FL Primary

Addresses

Primary practice location

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-3292

Other identifiers 1

IdentifierTypeStateIssuer
017169800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, DE, NV4 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
I20160712000075 FL Practitioner - Diagnostic Radiology 1355589250 Reassigns benefits to 3 organizations
I20250114003804 AZ Practitioner - Diagnostic Radiology 1355589250 Reassigns benefits to 1 organization
I20250711001076 DE Practitioner - Diagnostic Radiology 1355589250 Reassigns benefits to 1 organization
I20251121001556 NV Practitioner - Diagnostic Radiology 1355589250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

1000 Twin C LN
Suite 100
Newark, DE 19713-2140
Phone (302) 731-2888

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0054314COMDDiagnostic Radiology Physician
ME120830FLMDDiagnostic Radiology Physician
28336NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Diagnostic Radiology CurrentSince Sep 28, 2025 Accepting new patients
First State Orthopaedics PA Current Accepting new patients
Community Care Services LLC CurrentSince Nov 7, 2025 Accepting new patients
First State Orthopaedics, PA CurrentSince Jul 1, 2025 Accepting new patients
Community Care Services LLC Diagnostic Radiology CurrentSince Sep 28, 2025 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Jun 15, 2016 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
First State Orthopaedics PA CurrentSince Jul 1, 2025 Accepting new patients
Community Care Services LLC Current Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Aug 2, 2017 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Dec 23, 2024 Accepting new patients

Locations

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

9700 N 91st St
Ste C200
Scottsdale, AZ 85258
Phone (480) 240-9738

285 Beiser Blvd
Ste 101
Dover, DE 19904

1000 Twin C Ln
Ste 100
Newark, DE 19713

211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

14551 Hope Center Loop
Ste 100
Fort Myers, FL 33912
Phone (399) 362-3162

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

6140 Winkler Rd
Ste A
Fort Myers, FL 33919
Phone (239) 489-4466

1110 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-1000

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ryan.lundquistmd.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 11

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1316196041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-3292",
            "fax_number": "239-936-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "RYAN",
        "middle_name": "BENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "28336",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0054314",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME120830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017169800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.