NPIMap

Individual provider Active NPI

Ryan M Coughlan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Round Rock, TX
National Provider Identifier
1396004057
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q1218 Issued in TX
Practice address
1400 Hesters Crossing Rd
Round Rock, TX 78681-8025
Phone
(512) 244-4400
NPI assigned
May 15, 2012
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q1218 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 32505 OK

Addresses

Primary practice location

1400 Hesters Crossing Rd
Round Rock, TX 78681-8025

Mailing address

4500 Williams Drive Suite 212 PMB 222
Georgetown, TX 78633

Other identifiers 1

IdentifierTypeStateIssuer
200661280AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006000896 TX Practitioner - Physical Medicine and Rehabilitation 5799081808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Missouri, Columbia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 W Central Texas Expy
Harker Heights, TX 76548-3290
Phone (518) 986-1445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
98.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q1218TXMDPhysical Medicine & Rehabilitation Physician
32505OKMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Austin Rehab Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2018 Accepting new patients
DRMC Rehab PLLC Physical Medicine & Rehabilitation CurrentSince May 1, 2018 Accepting new patients
Encompass Health Rehabilitation Hospital of Round Rock, LLC Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

919 E 32nd St
Fl 4
Austin, TX 78705
Phone (512) 467-5300

4500 Williams Dr
Ste 212
Georgetown, TX 78633

1400 Hesters Crossing Rd
Round Rock, TX 78681
Phone (207) 332-4730

4681 College Park Dr
Round Rock, TX 78665
Phone (512) 671-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1396004057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WILLIAMS DRIVE SUITE 212 PMB 222",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HESTERS CROSSING RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818025",
            "telephone_number": "512-244-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLAN",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q1218",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "32505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200661280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.