Individual provider Active NPI

Ryan J Plank, M.D.

  • Orthopaedic Surgery Physician
  • Crown Point, IN
National Provider Identifier
1376555250
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01059354A Issued in IN
Practice address
500 E 109TH Ave
Crown Point, IN 46307-7294
Phone
(219) 921-1444
NPI assigned
Aug 12, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01059354A IN Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 01059354A IN

Addresses

Primary practice location

500 E 109TH Ave
Crown Point, IN 46307-7294

Mailing address

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Other practice location 1

833 W Lincoln Hwy Ste 110
Schererville, IN 46375-1674
Phone (219) 921-1444

Other practice location 2

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Other identifiers 1

IdentifierTypeStateIssuer
201033540MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address r.plank@lbji.exscribedirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110823000244 IN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8921198243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2501 Cumberland Dr
Valparaiso, IN 46383-2503
Phone (219) 921-1444

500 E 109TH Ave
Crown Point, IN 46307-7294
Phone (219) 921-1444

601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone (219) 921-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
81.02
Improvement activities
40
Cost
74.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)43
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Bone & Joint Institute, PC Orthopaedic Surgery CurrentSince Aug 15, 2011 Accepting new patients
Lakeshore Bone & Joint Institute, PC Orthopaedic Surgery Current Accepting new patients
Franciscan Lakeshore ASC, LLC PastSince Oct 15, 2019 Accepting new patients
Lakeshore Bone & Joint Institute II, LLC PastSince Aug 1, 2003 Accepting new patients

Locations

601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401

500 E 109th Ave
Crown Point, IN 46307

3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380

833 W Lincoln Hwy
Ste 110
Schererville, IN 46375

833 W Lincoln Hwy
Ste 110E
Schererville, IN 46375
Phone (219) 427-0700

2501 Cumberland Dr
Valparaiso, IN 46383
Phone (219) 462-4481

Interoperability endpoints

  • Direct secure messaging: rplank82913@direct.franciscanalliance.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1376555250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GATEWAY BLVD N",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049658",
            "telephone_number": "219-921-1444",
            "fax_number": "219-921-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077294",
            "telephone_number": "219-921-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 W Lincoln Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751674",
            "country_code": "US",
            "telephone_number": "219-921-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Gateway Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463049658",
            "country_code": "US",
            "telephone_number": "219-921-1444",
            "fax_number": "219-921-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANK",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01059354A",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01059354A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201033540",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.plank@lbji.exscribedirect.com",
            "affiliation": "N",
            "address_1": "12800 Mississippi St",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463076900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.