Active NPI
Mark Ryerson
- Podiatrist
- Arlington HTS, IL
National Provider Identifier
1356395875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003397
- Practice address
- 125 E Central Rd
Arlington HTS, IL 60005-2649 - Phone
- (847) 255-0330
- Fax
- (847) 255-1785
- NPI assigned
- May 20, 2006
- Last updated
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003397 | IL | Primary |
| Sports Medicine Podiatrist | 213ES0000X | 016003397 | IL | |
| Foot Surgery Podiatrist | 213ES0131X | 016003397 | IL |
Addresses
Primary practice location
125 E Central Rd
Arlington HTS, IL 60005-2649
Mailing address
125 E Central Rd
Arlington HTS, IL 60005-2649
Phone (847) 255-0330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.02 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003397 | IL | MD | Foot Surgery Podiatrist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1356395875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E CENTRAL RD",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052649",
"telephone_number": "847-255-0330",
"fax_number": "847-255-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E CENTRAL RD",
"city": "ARLINGTON HTS",
"state": "IL",
"postal_code": "600052649",
"telephone_number": "847-255-0330",
"fax_number": "847-255-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYERSON",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016003397",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "IL",
"license": "016003397",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016003397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington HTS, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.