Active NPI
Ryan Dale Jones, M.D., PH.D.
- Anatomic Pathology Physician
- Chicago, IL
National Provider Identifier
1316334881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 036.144898
- Practice address
- 600 W Chicago Ave Ste 510
Chicago, IL 60654-2282 - Phone
- (630) 247-8514
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 036.144898 | IL | Primary |
Addresses
Primary practice location
600 W Chicago Ave Ste 510
Chicago, IL 60654-2282
Mailing address
1633 Imperial Cir
Naperville, IL 60563-0132
Phone (630) 247-8514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170127001892 | IL | Order and Referring Only - Pathology | 6608158514 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.144898 | IL | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1316334881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 IMPERIAL CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605630132",
"telephone_number": "630-247-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CHICAGO AVE STE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606542282",
"telephone_number": "630-247-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RYAN",
"middle_name": "DALE",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "IL",
"license": "036.144898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.