NPIMap

Individual provider Active NPI

Joshua Ryan, MD

  • Nuclear Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1346669280
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
12095 Issued in SD
Practice address
1210 W 1210 W 18TH St Ste LL03
Sioux Falls, SD 57104-4654
Phone
(605) 328-1410
Fax
(605) 328-1412
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 12095 SD Primary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 12095 SD
Diagnostic Radiology Physician 2085R0202X 01076992A IN

Addresses

Primary practice location

1210 W 1210 W 18TH St Ste LL03
Sioux Falls, SD 57104-4654

Mailing address

250 N Shadeland Ave # 200
Indianapolis, IN 46219-4959
Phone (877) 668-5621

Other practice location 1

550 University Blvd
Room 0641
Indianapolis, IN 46202-5149
Phone (317) 948-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20200827001046 SD Practitioner - Nuclear Medicine 4284851817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite LL03
Sioux Falls, SD 57104-4654
Phone (605) 328-1410

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0175SDMDSpecialist
12095SDMDNuclear Medicine Physician
01076992AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Jul 13, 2020 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Jul 13, 2020 Accepting new patients
Sanford Medical Center CurrentSince Sep 10, 2021 Accepting new patients
University Vascular Surgery, Inc PastSince Oct 27, 2019 Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1210 W 18th St
Ste LL03
Sioux Falls, SD 57104
Phone (605) 328-1410

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

5019 S Western Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 328-9700

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Interoperability endpoints

  • Direct secure messaging: jryan21477@direct.eskenazihealth.edu

Organizations & group practices 5

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 11

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1346669280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE # 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "877-668-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 1210 W 18TH ST STE LL03",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044654",
            "telephone_number": "605-328-1410",
            "fax_number": "605-328-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_2": "Room 0641",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-948-2449",
            "fax_number": "317-948-2803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "SD",
            "license": "12095",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "12095",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01076992A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.