Individual provider Active NPI

Anne Bowman Ryan, MD

  • Internal Medicine Physician
  • Pittsford, NY
National Provider Identifier
1366731572
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271348 Issued in NY
Practice address
167 Sullys TRL
Ste 100
Pittsford, NY 14534-4567
Phone
(585) 758-0800
Fax
(585) 381-1577
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 271348 NY
Internal Medicine Physician 207R00000X 271348 NY Primary

Addresses

Primary practice location

167 Sullys TRL
Ste 100
Pittsford, NY 14534-4567

Mailing address

167 Sullys TRL
Ste 100
Pittsford, NY 14534-4567
Phone (585) 758-0800

Other identifiers 1

IdentifierTypeStateIssuer
04186403MedicaidNY

Other names 1

  • Anne Michelle Bowman Former name

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
I20150729009940 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7719291145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Virginia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Current Accepting new patients
University of Rochester CurrentSince Apr 24, 2017 Accepting new patients
University of Rochester Internal Medicine CurrentSince Apr 24, 2017 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2015 Accepting new patients
Strong Medical Group Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Highland Hospital of Rochester Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

167 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 758-0800

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

155 Corporate Woods
Ste 100
Rochester, NY 14623
Phone (585) 784-7864

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: aryan46457@direct.urmc.rochester.edu

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 and National Provider Directory roles.

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1366731572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SULLYS TRL",
            "address_2": "STE 100",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344567",
            "telephone_number": "585-758-0800",
            "fax_number": "585-381-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SULLYS TRL",
            "address_2": "STE 100",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344567",
            "telephone_number": "585-758-0800",
            "fax_number": "585-381-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANNE",
        "middle_name": "BOWMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "271348",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04186403",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BOWMAN",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.