Active NPI
Samantha Morley Ryan, M.D.
- Cardiovascular Disease Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 62690
- Practice address
- 4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568 - Phone
- (763) 427-9980
- Fax
- (763) 427-0904
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 62690 | MN | |
| Cardiovascular Disease Physician | 207RC0000X | 62690 | MN | Primary |
Addresses
Primary practice location
4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sryan670044@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4040 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-4568
Phone (763) 427-9980
Hospital & facility affiliations
- Mercy Hospital
- Buffalo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62690 | MN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Allina Health System | Cardiovascular Disease | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients |
Locations
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
4040 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 427-9980
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Cardiovascular Disease Physician
- Saint Paul, MN
- NPI 1588929079
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Infectious Disease Physician
- Rochester, MN
- NPI 1114343860
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- General Acute Care Hospital
- Buffalo, MN
- NPI 1538123567
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1366806036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 COON RAPIDS BLVD NW STE 120",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554334568",
"telephone_number": "763-427-9980",
"fax_number": "763-427-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SAMANTHA",
"middle_name": "MORLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "62690",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "62690",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sryan670044@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "4040 Coon Rapids Blvd NW Ste 120",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554334568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.