Active NPI
Thomas J Ryan Jr., M.D.
- Interventional Cardiology Physician
- Scarborough, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD13348
- Practice address
- 96 Campus Dr
Suite 1
Scarborough, ME 04074 - Phone
- (207) 396-5611
- NPI assigned
- Jan 27, 2006
- Last updated
- Jul 12, 2018
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281510099 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Tufts University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
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 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD13348 | ME | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary's Regional Medical Center | Current | 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
- dr_thomas_ryan_--_hospitalist2@yourcarecommunity.org
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mainehealth Maine Medical Center | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Behavioral Health at Spring Harbor | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Waldo Hospital | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Waldo Hospital Swing Bed | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Pen Bay Hospital | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Lincoln Hospital | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Lincoln Hospital Swing Bed | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Stephens Hospital | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Mid Coast Hospital | Hospital | Corporate Director | Jan 1, 2019 |
| Mainehealth Franklin Hospital | Hospital | Corporate Director | Oct 1, 2023 |
| Mainehealth Franklin Hospital | Hospital | Corporate Director | Oct 1, 2023 |
| Mainehealth Pen Bay Hospital Swing Bed | Hospital | Corporate Director | Jan 1, 2023 |
| St Andrews Village | Skilled nursing facility | Corporate Director Trustee of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Mainehealth Arthur Jewell Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Stockton Springs Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth John F Andrews Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Waldoboro Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Herbert and Roberta Watson Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Medd Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Ripley Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Livermore Falls Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Franklin Health Center | Rural health clinic | Corporate Director | Jan 1, 2019 |
| Mainehealth Mt Blue Health Center | 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.
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Corporate Director
-
dba MaineHealth Medd Health Center
- Rural Health Clinic/Center
- Norway, ME
- NPI 1053601864
Corporate Director
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
Corporate Director
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Corporate Director
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Corporate Director
-
dba MaineHealth Franklin Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1245873082
Corporate Director
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Corporate Director
-
dba MaineHealth Primary Care Family Medicine
- Rural Health Clinic/Center
- Stockton Springs, ME
- NPI 1295800118
Corporate Director
-
dba MaineHealth Lincoln Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Damariscotta, ME
- NPI 1316035116
Corporate Director
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.
-
dba Maine Medical Partners Women's Health
- Obstetrics & Gynecology Physician
- Portland, ME
- NPI 1104921535
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba Maine Medical Partners Orthopedics
- Orthopaedic Surgery Physician
- Falmouth, ME
- NPI 1730467838
-
dba St. Mary's d'Youville Pavilion
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MaineHealth Memorial Hospital
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
dba MaineHealth Memorial Hospital
- Family Medicine Physician
- North Conway, NH
- NPI 1992000103
Hospital
-
dba Northern Women's Healthcare
- Obstetrics & Gynecology Physician
- North Conway, NH
- NPI 1366421141
Hospital
-
dba Northern NH Orthopedics
- Orthopaedic Surgery Physician
- North Conway, NH
- NPI 1619968849
Hospital
-
dba MWV Healthcare
- Endocrinology, Diabetes & Metabolism Physician
- North Conway, NH
- NPI 1629060926
Hospital
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
- Royal River Family Psych
- Anand Indulal Rughani, MD
- Marion Russell, OTR/L
- Kathleen Ann Rutecki, DO
- Kathryn Anne Ryan, NP
- Saco Bay Mental Health PLLC
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Cassiah Zimra Sahl, CCC-SLP
- Ashish Saini, MD
- Salt & Pine Restorative Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.