Individual provider Active NPI

Ryan W. Hardy, M.D.

  • Surgery Physician
  • Caldwell, ID
National Provider Identifier
1477593648
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M-7557 Issued in ID
Practice address
315 E Elm St Ste 350
Caldwell, ID 83605-4881
Phone
(208) 459-0028
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M-7557 ID Primary

Addresses

Primary practice location

315 E Elm St Ste 350
Caldwell, ID 83605-4881

Mailing address

PO Box 742941
Atlanta, GA 30374-2941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RYAN.HARDY@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20070907000789 ID Practitioner - General Surgery 8628081437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Medical Group Specialty Services LLCGroup PAC ID 5799901815, 6 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

315 E Elm St
Caldwell, ID 83605-4881

Hospital & facility affiliations

  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

Merit-based Incentive Payment System (MIPS)

Final score
86.94 of 100Reported as group
Quality
87.04
Promoting interoperability
99
Improvement activities
40
Cost
70.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Medical Group Specialty Services LLC CurrentSince Feb 17, 2020 Accepting new patients
OB-GYN Associates, PA PastSince Jan 1, 2009 Accepting new patients

Locations

315 E Elm St
Ste 350
Caldwell, ID 83605
Phone (208) 454-6363

315 E Elm St
Ste 310
Caldwell, ID 83605
Phone (208) 454-2035

404 E Elm St
Caldwell, ID 83605
Phone (208) 459-0028

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: ryan.hardy@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1477593648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742941",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ELM ST STE 350",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054881",
            "telephone_number": "208-459-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "RYAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "M-7557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RYAN.HARDY@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "404 E Elm St",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836054846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.