Individual provider Active NPI

Ryan Christopher Spiardi, D.O.

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1316396393
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS019873 Issued in PA
Practice address
240 Medical Office Building
51 N. 39TH Street
Philadelphia, PA 19104-2640
Phone
(215) 662-8730
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT017290 PA
Nephrology Physician 207RN0300X OS019873 PA Primary

Addresses

Primary practice location

240 Medical Office Building
51 N. 39TH Street
Philadelphia, PA 19104-2640

Mailing address

240 Medical Office Building
51 N. 39TH Street
Philadelphia, PA 19104-2640
Phone (215) 662-8730

Other practice location 1

245 N 15th St
6th Floor
Philadelphia, PA 19102-1101
Phone (215) 762-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190709001559 PA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 3577810092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

51 N 39TH Street 2 Mob
Uphs/Presbyterian Division of Renal Electro
Philadelphia, PA 19104-2640
Phone (215) 662-8730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017290PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Drexel University CurrentSince Jul 1, 2019 Accepting new patients
Drexel University Current Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Drexel University CurrentSince Jul 1, 2019 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

PO B0x 824320
Philadelphia, PA 19182

4952 Parkside Ave
Philadelphia, PA 19131
Phone (215) 871-0810

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

3823 Market St
Philadelphia, PA 19104
Phone (215) 222-0671

3737 Market St
Ste 1225
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

4126 Walnut St
Philadelphia, PA 19104
Phone (215) 387-0500

245 N 15th St
Fl 6
Philadelphia, PA 19102
Phone (215) 762-7916

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

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 6

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1316396393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEDICAL OFFICE BUILDING",
            "address_2": "51 N. 39TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEDICAL OFFICE BUILDING",
            "address_2": "51 N. 39TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-7000",
            "fax_number": "215-762-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIARDI",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017290",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS019873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.