Individual provider Active NPI

Thomas J Ryan Jr., M.D.

  • Interventional Cardiology Physician
  • Scarborough, ME
National Provider Identifier
1326019563
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD13348 Issued in ME
Practice address
96 Campus Dr
Suite 1
Scarborough, ME 04074
Phone
(207) 396-5611
NPI assigned
Jan 27, 2006
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD13348 ME Primary

Addresses

Primary practice location

96 Campus Dr
Suite 1
Scarborough, ME 04074

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 1

IdentifierTypeStateIssuer
281510099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20040212000608 ME Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3971497694 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

96 Campus Dr
Scarborough, ME 04074-7163
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13348MEMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 1, 2008 Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jun 13, 2018 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2008 Accepting new patients
Mainegeneral Medical Center CurrentSince Dec 1, 2008 Accepting new patients
Mainehealth CurrentSince Jan 1, 2008 Accepting new patients
Mainehealth Current Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jun 13, 2018 Accepting new patients

Locations

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-8650

193 Main St
Ste 3
Norway, ME 04268
Phone (207) 743-7605

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

96 Campus Dr
Scarborough, ME 04074
Phone (207) 885-9905

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

149 North St
Waterville, ME 04901
Phone (207) 622-1959

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: dr_thomas_ryan_--_hospitalist2@yourcarecommunity.org
  • Direct secure messaging: tryan1115@direct.mmc.mainehealth.org

Ownership & related parties

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mainehealth Maine Medical CenterPortland, ME, CCN 200009 Hospital Corporate Director Jan 1, 2019
MainehealthSanford, ME, CCN 20S009 Hospital Corporate Director Jan 1, 2019
Mainehealth Behavioral Health at Spring HarborWestbrook, ME, CCN 204005A Hospital Corporate Director Jan 1, 2019
Mainehealth Waldo HospitalBelfast, ME, CCN 201312 Hospital Corporate Director Jan 1, 2019
Mainehealth Waldo Hospital Swing BedBelfast, ME, CCN 20Z312 Hospital Corporate Director Jan 1, 2019
Mainehealth Pen Bay HospitalRockport, ME, CCN 200063 Hospital Corporate Director Jan 1, 2019
Mainehealth Lincoln HospitalDamariscotta, ME, CCN 201302 Hospital Corporate Director Jan 1, 2019
Mainehealth Lincoln Hospital Swing BedDamariscotta, ME, CCN 20Z302 Hospital Corporate Director Jan 1, 2019
Mainehealth Stephens HospitalNorway, ME, CCN 201315 Hospital Corporate Director Jan 1, 2019
Mainehealth Mid Coast HospitalBrunswick, ME, CCN 200021 Hospital Corporate Director Jan 1, 2019
Mainehealth Franklin HospitalFarmington, ME, CCN 201316 Hospital Corporate Director Oct 1, 2023
Mainehealth Franklin HospitalFarmington, ME, CCN 20Z316 Hospital Corporate Director Oct 1, 2023
Mainehealth Pen Bay Hospital Swing BedRockport, ME, CCN 20U063 Hospital Corporate Director Jan 1, 2023
St Andrews VillageBoothbay Harbor, ME, CCN 205158 Skilled nursing facility Corporate Director
Trustee of the SNF
Jan 1, 2019
Jan 1, 2019
Mainehealth Arthur Jewell Health CenterBrooks, ME, CCN 203983 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Stockton Springs Health CenterStockton Springs, ME, CCN 203985 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth John F Andrews Health CenterBoothbay Harbor, ME, CCN 203975 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Waldoboro Health CenterWaldoboro, ME, CCN 208511 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Herbert and Roberta Watson Health CenterDamariscotta, ME, CCN 208510 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Medd Health CenterNorway, ME, CCN 208518 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Ripley Health CenterNorway, ME, CCN 208519 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Livermore Falls Health CenterLivermore Falls, ME, CCN 208525 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Franklin Health CenterFarmington, ME, CCN 208526 Rural health clinic Corporate Director Jan 1, 2019
Mainehealth Mt Blue Health CenterFarmington, ME, CCN 208527 Rural health clinic Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 58

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 58

Organizations & group practices 10

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.

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1326019563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CAMPUS DR",
            "address_2": "SUITE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ME",
            "license": "MD13348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281510099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.