Individual provider Active NPI

Geoffrey Allen Ryan, DO

  • Pediatrics Physician
  • Greeley, CO
National Provider Identifier
1326667437
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0076422 Issued in CO
Practice address
5881 W 16TH St Ste B
Greeley, CO 80634-2910
Phone
(970) 652-2235
Fax
(970) 652-2827
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0076422 CO Primary
Pediatrics Physician 208000000X 1.075481-DO CT

Addresses

Primary practice location

5881 W 16TH St Ste B
Greeley, CO 80634-2910

Mailing address

5881 W 16TH St Ste B
Greeley, CO 80634-2910
Phone (970) 652-2235

Other practice location 1

6 Northwestern Dr
Bloomfield, CT 06002-3463
Phone (860) 242-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251224002036 CO Practitioner - Pediatric Medicine 1658725510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Marian University College of Osteopathic Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-8702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0076422COMDPediatrics Physician
1.075481-DOCTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Dec 11, 2025 Accepting new patients
Prohealth Physicians PC Pediatrics CurrentSince Sep 11, 2023 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500

5881 W 16th St
Ste Bwomens
Greeley, CO 80634
Phone (970) 336-1500

6 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 242-0734

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: geoffrey.ryan.npi1326667437.phpct@direct.optumcare.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1326667437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "970-652-2235",
            "fax_number": "970-652-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "970-652-2235",
            "fax_number": "970-652-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Northwestern Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023463",
            "country_code": "US",
            "telephone_number": "860-242-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "GEOFFREY",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0076422",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "1.075481-DO",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.