Julia Ryan, MD, PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

72691 Issued in CT

Practice address

101 Main St
Unionville, CT 06085-1131

Phone

(860) 673-6124

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Svedova Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: julia.ryan.1@15841.direct.athenahealth.com
• Direct secure messaging: julia.ryan@xdr.hhchealthdirect.org
• FHIR API: https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4

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.

• Unionville Pediatrics

  • Pediatrics Physician
  • Unionville, CT
  • NPI 1497748636
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1437619384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851131",
            "telephone_number": "860-673-6124",
            "fax_number": "860-679-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851131",
            "telephone_number": "860-673-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JULIA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "72691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SVEDOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny Lee Petrauskas, M.D.
• Professional Exchange Network LLC
• Propicius Biosolutions LLC
• Caitlin Alexandra Raftis, LADC
• Nicole Reiser, LCSW
• Melissa Schluntz, LMFT
• Aldo Servello II, PA-C
• Services for the Elderly of Farmington
• Christina Audet Solomito, FNP-C
• Speech Path, LLC

• Pediatrics Physician in Unionville, CT
• Providers in Unionville, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.

Verify at the official NPI Registry.