NPIMap

Individual provider Active NPI

Ryan Alberts

  • Medical Physician Assistant
  • Naperville, IL
National Provider Identifier
1346682622
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021544 Issued in NY
Practice address
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
Jul 26, 2013
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PT617 WY
Medical Physician Assistant 363AM0700X 021544 NY Primary

Addresses

Primary practice location

10 Martin Ave Ste 200
Naperville, IL 60540-6535

Mailing address

208 Madison Ave
Olean, NY 14760-1616

Other practice location 1

135 N Union St
Olean, NY 14760-2736
Phone (716) 375-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171221000546 NY Practitioner - Physician Assistant 3072835917 Reassigns benefits to 2 organizations
I20230920000617 IL Practitioner - Physician Assistant 3072835917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians

Practice addresses (Care Compare)

10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021544NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Community Health Center Network, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Sep 30, 2023 Accepting new patients
Southern Tier Community Health Center Network, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Cardiovascular Institute Gpe Inc CurrentSince Sep 4, 2025 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

132 W Main St
Cuba, NY 14727

135 N Union St
Olean, NY 14760

Interoperability endpoints

  • Direct secure messaging: ralberts@gppc.medentdirect.com

Organizations & group practices 6

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 2

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1346682622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MADISON AVE",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Union St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147602736",
            "country_code": "US",
            "telephone_number": "716-375-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "PT617",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.