Ryan Crenshaw, MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101057206 Issued in VA

Practice address

21135 Whitfield PL
Suite 102
Sterling, VA 20165-7279

Phone

(703) 444-4799

Fax

(703) 444-4985

NPI assigned

Sep 28, 2006

Last updated

Apr 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ryan.crenshawmd@130185.advancedmd-direct.com

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.

• Joanne Crenshaw, MD PC

  • Ophthalmology Physician
  • Sterling, VA
  • NPI 1821137738
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1447342746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47568 ANCHORAGE CIRCLE",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201654712",
            "telephone_number": "703-421-2875",
            "fax_number": "703-421-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21135 WHITFIELD PL",
            "address_2": "SUITE 102",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657279",
            "telephone_number": "703-444-4799",
            "fax_number": "703-444-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "RYAN",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101057206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5858143",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Countryside Chiropractic Inc
• Countryside Optical
• Beatrice Craiu, PSYD
• Erin Whitney Crawford, PA-C
• Joanne Crenshaw, MD
• Kimberly Cross
• Crown ABA VA LLC
• Danette Faye Cruthirds, CRNA
• Arlene J Currie
• Alison Brooke Curtis, MS

• Gastroenterology Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.