Active NPI
Alexey A Ryskin, M.D.
- Pain Medicine (Anesthesiology) Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD60323495
- Practice address
- 1075 Jadwin Ave
Richland, WA 99352-3437 - Phone
- (509) 946-3340
- Fax
- (509) 943-7909
- NPI assigned
- Jul 29, 2006
- Last updated
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 5566449-1205 | UT | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD60323495 | WA | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | MD60323495 | WA |
Addresses
Primary practice location
1075 Jadwin Ave
Richland, WA 99352-3437
Mailing address
P.O. Box 1408
Richland, WA 99352-1408
Phone (509) 946-3340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000067772 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10151 SE Sunnyside Rd
Suite 315
Clackamas, OR 97015-5717
Phone (701) 235-9624
35002 Pacific Hwy S
Suite A105
Federal Way, WA 98003-8366
Phone (253) 944-1289
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.78 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 79.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose City Pain Relief LLC | Pain Medicine | Current | Accepting new patients |
| Seattle Pain Relief PLLC | Family Medicine | Current | Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Past | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 315
Clackamas, OR 97015
Phone (503) 305-5027
35002 Pacific Hwy S
Ste A105
Federal Way, WA 98003
Phone (253) 209-7800
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Federal Way, WA
- NPI 1710240841
-
dba Portland Pain Relief
- Pain Medicine (Anesthesiology) Physician
- Clackamas, OR
- NPI 1396513776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1366457236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1408",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993521408",
"telephone_number": "509-946-3340",
"fax_number": "509-943-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523437",
"telephone_number": "509-946-3340",
"fax_number": "509-943-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYSKIN",
"first_name": "ALEXEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "UT",
"license": "5566449-1205",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WA",
"license": "MD60323495",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WA",
"license": "MD60323495",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000067772",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.