Individual provider Active NPI

John J Ryan, MD

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1396791562
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0550 Issued in TX
Practice address
801 S Main St Ste C
McAllen, TX 78501-5056
Phone
(956) 686-0574
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0550 TX Primary

Addresses

Primary practice location

801 S Main St Ste C
McAllen, TX 78501-5056

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (844) 630-0700

Other practice location 1

260 US Highway 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

Other practice location 2

1701 S Cage Blvd Ste 116
Pharr, TX 78577-6459
Phone (956) 702-7054

Other identifiers 2

IdentifierTypeStateIssuer
M0550OtherTXTX LICENSE
181216605MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0550TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socrates a Garrigos, Mdpa Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1396791562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "844-630-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015056",
            "telephone_number": "956-686-0574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 US Highway 181 N",
            "address_purpose": "LOCATION",
            "city": "Floresville",
            "state": "TX",
            "postal_code": "781143136",
            "country_code": "US",
            "telephone_number": "830-393-8222",
            "fax_number": "855-278-4529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Cage Blvd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Pharr",
            "state": "TX",
            "postal_code": "785776459",
            "country_code": "US",
            "telephone_number": "956-702-7054",
            "fax_number": "956-702-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "M0550",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181216605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.