Individual provider Active NPI

Ryan Peter Denhaese, M.D.

  • Neurological Surgery Physician
  • Williamsville, NY
National Provider Identifier
1356563381
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
243525-1 Issued in NY
Practice address
19 Limestone Dr
Suite 11
Williamsville, NY 14221-7091
Phone
(716) 634-3500
Fax
(716) 634-3525
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 243525-1 NY Primary

Addresses

Primary practice location

19 Limestone Dr
Suite 11
Williamsville, NY 14221-7091

Mailing address

19 Limestone Dr
Suite 11
Williamsville, NY 14221-7091
Phone (716) 634-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070922000101 NY Practitioner - Neurosurgery 9032203997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Neurosurgery and Spine of Wny PLLCGroup PAC ID 5890917181, 4 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

12 Ctr St
Fredonia, NY 14063-1769
Phone (716) 634-3500

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion237
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243525-1NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Neurosurgery and Spine of Wny PLLC CurrentSince Jan 1, 2014 Accepting new patients

Locations

29 E Main St
Fredonia, NY 14063
Phone (716) 634-3500

19 Limestone Dr
Ste 11
Williamsville, NY 14221
Phone (716) 634-3500

Interoperability endpoints

  • Direct secure messaging: drryandenhaese@axisneurosurgery.medentdirect.com
  • Direct secure messaging: ryan.denhaese@cccl.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1356563381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217091",
            "telephone_number": "716-634-3500",
            "fax_number": "716-634-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217091",
            "telephone_number": "716-634-3500",
            "fax_number": "716-634-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAESE",
        "first_name": "RYAN",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "243525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.