Individual provider Active NPI

Ryan Michael Dauer

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1376938449
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME149366 Issued in FL
Practice address
1611 NW 12TH Ave
Central BLDG., Room 600D
Miami, FL 33136-1005
Phone
(305) 585-5215
NPI assigned
Apr 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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
Gastroenterology Physician 207RG0100X ME149366 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Central BLDG., Room 600D
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005

Other practice location 1

11011 Sheridan St Ste 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

Other practice location 2

4700 Sheridan St Ste F
Hollywood, FL 33021-3416
Phone (954) 961-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210512002116 FL Practitioner - Gastroenterology 8820407349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

11011 Sheridan St
Suite 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149366FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Gastroenterology Current Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Jun 10, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 802
Miami, FL 33156

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Interoperability endpoints

  • Direct secure messaging: ryan.dauer@gastrohealth.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1376938449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "CENTRAL BLDG., ROOM 600D",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11011 Sheridan St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330261501",
            "country_code": "US",
            "telephone_number": "954-961-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Sheridan St Ste F",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213416",
            "country_code": "US",
            "telephone_number": "954-961-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-05",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME149366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.