Active NPI
Frank M. Ryan, M.D.
- Internal Medicine Physician
- Fort Washington, MD
National Provider Identifier
1427016591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0019431
- Practice address
- 11701 Livingston Rd
Suite 103
Fort Washington, MD 20744-5104 - Phone
- (301) 292-7270
- Fax
- (301) 203-0740
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0019431 | MD | Primary |
Addresses
Primary practice location
11701 Livingston Rd
Suite 103
Fort Washington, MD 20744-5104
Mailing address
12805 Lost Lake Cir
Fort Washington, MD 20744-6307
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400752 | Other | MD | EVERCARE |
| 0780385 | Other | MH | AETNA US HEALTHCARE |
| 1417045013 | Other | MH | CIGNA |
| 9711 | Other | MD | KAISER |
| 0400048 | Other | MD | UNTD HLTHC AMERI-CHOICE |
| 25970007 | Other | DC | BCBSNCA |
| 521973185 | Other | MD | PHCS |
| 26667100 | Medicaid | DC | |
| 498199 | Other | MD | NCPPO |
| 4053590 | Other | MD | AETNA |
| 42021409 | Other | MD | BCBS OF MARYLAND |
| 02133000000 | Other | MH | PREFERRED HEALTH |
| 256066 | Other | MD | MAMSI/ALLIANCE |
| 521973185 | Other | MD | FIDELITY PMG |
| 521973185 | Other | MD | UNITED HEALTHCARE |
| 973631000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0019431 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Internal Medicine | Current | Accepting new patients |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
- Hematology & Oncology Physician
- Greenbelt, MD
- NPI 1639976665
Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1427016591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 LOST LAKE CIR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207446307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON RD",
"address_2": "SUITE 103",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445104",
"telephone_number": "301-292-7270",
"fax_number": "301-203-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "FRANK",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0019431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0400752",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0780385",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1417045013",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "9711",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNTD HLTHC AMERI-CHOICE",
"identifier": "0400048",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNCA",
"identifier": "25970007",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "521973185",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26667100",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "498199",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4053590",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MARYLAND",
"identifier": "42021409",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "02133000000",
"state": "MH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/ALLIANCE",
"identifier": "256066",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELITY PMG",
"identifier": "521973185",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "521973185",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "973631000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.