Individual provider Active NPI

Ryan Paul Terlouw, M.D.

  • Plastic Surgery Physician
  • Muskegon, MI
National Provider Identifier
1376833509
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301112907 Issued in MI
Practice address
1675 Patriot Dr
Muskegon, MI 49444-7807
Phone
(231) 739-1933
NPI assigned
Apr 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 4301112907 MI Primary

Addresses

Primary practice location

1675 Patriot Dr
Muskegon, MI 49444-7807

Mailing address

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-1930

Other practice location 1

3800 Reservoir Rd NW
Dept of Plastic Surgery
Washington, DC 20007-2113
Phone (202) 444-1233

Other identifiers 1

IdentifierTypeStateIssuer
1376833509MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180105000023 MI Practitioner - Plastic and Reconstructive Surgery 9032478656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1675 Patriot Dr
Muskegon, MI 49444-7807
Phone (231) 739-9461

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision59
Removal of tissue12
Removal of skin lesions25
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Muskegon Surgical Associates PC Multi-Specialty CurrentSince Jan 1, 2018 Accepting new patients
Muskegon Surgical Associates Surgicenter, PLC Plastic and Reconstructive Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

Interoperability endpoints

  • Direct secure messaging: rterlouw40635@direct.trinity-health.org

Organizations & group practices 2

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 1

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1376833509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-1930",
            "fax_number": "231-739-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 PATRIOT DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447807",
            "telephone_number": "231-739-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "Dept of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-1233",
            "fax_number": "202-444-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERLOUW",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301112907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376833509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.