Individual provider Active NPI

Alexey A Ryskin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Richland, WA
National Provider Identifier
1366457236
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD60323495 Issued in WA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000067772OtherWAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131004000418 WA Practitioner - Interventional Pain Management 8123095528 Reassigns benefits to 1 organization
I20240525000276 OR Practitioner - Pain Management 8123095528 Reassigns benefits to 1 organization

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
Rose City Pain Relief LLCGroup PAC ID 4183068794, 3 clinicians
Seattle Pain Relief PLLCGroup PAC ID 9032368220, 4 clinicians

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 100Reported as group
Quality
95
Improvement activities
40
Cost
79.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rose City Pain Relief LLC Pain Medicine CurrentSince Mar 14, 2024 Accepting new patients
Seattle Pain Relief PLLC Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Legacy Clinics LLC Family Medicine PastSince Mar 14, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.