NPIMap

Individual provider Active NPI

Ryan James Mikac, D.O.

  • Family Medicine Physician
  • Amherst, NY
National Provider Identifier
1346502689
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
299432 Issued in NY
Practice address
3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741
Phone
(716) 309-4772
Fax
(716) 427-6333
NPI assigned
Jun 12, 2012
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 299432 NY Primary

Addresses

Primary practice location

3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (866) 853-9551

Other practice location 1

8901 Wisconsin Ave
NCC- Internal Medicine Program
Bethesda, MD 20889-5600
Phone (301) 319-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000944 NY Practitioner - Family Practice 8628491487 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians
Niagara Falls Memorial Medical CenterGroup PAC ID 0244134484, shared by 2 NPIs, 67 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14209
Phone (207) 518-8869

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299432NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Aug 1, 2020 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Feb 25, 2023 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Nov 1, 2020 Accepting new patients
2850 Grand Island Boulevard Operating Company LLC Past Accepting new patients
1818 Como Park Boulevard Operating Company LLC Past Accepting new patients
Comprehensive at Williamsville LLC Past Accepting new patients
5775 Maelou Drive Operating Company LLC Past Accepting new patients
225 Bennett Road Operating Company LLC Past Accepting new patients
Schofield Residence Inc. Past Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Buffalo Center for Rehabilitation and NursingBuffalo, NY, CCN 335638001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2020
Oct 1, 2020

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 11

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1346502689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "866-853-9551",
            "fax_number": "203-916-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR STE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-309-4772",
            "fax_number": "716-427-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Wisconsin Ave",
            "address_2": "NCC- Internal Medicine Program",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895600",
            "country_code": "US",
            "telephone_number": "301-319-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKAC",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "299432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.