Individual provider Active NPI

Ryan B Greene, MD

  • Vascular & Interventional Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1518171107
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01070846A Issued in IN
Practice address
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone
(317) 806-8260
Fax
(317) 806-8296
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01070846A IN
Diagnostic Radiology Physician 2085R0202X 2171998 ID
Vascular & Interventional Radiology Physician 2085R0204X 01070846A IN Primary

Addresses

Primary practice location

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Mailing address

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-4320

Other identifiers 1

IdentifierTypeStateIssuer
201071020MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120608000486 IN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2062676778 Reassigns benefits to 5 organizations
I20250915000715 IL Practitioner - Interventional Radiology 2062676778 Reassigns benefits to 1 organization
I20260205000799 ID Practitioner - Interventional Radiology 2062676778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians
Decatur County Memorial HospitalGroup PAC ID 7315837671, 128 clinicians
Radiology of Indiana P CGroup PAC ID 0648161430, 122 clinicians

Practice addresses (Care Compare)

105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

500 N Wall St
Kankakee, IL 60901-2942

500 N Wall Ste
Suite 200
Kankakee, IL 60901-2942
Phone (815) 937-1237

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 663-4331

9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2171998IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Michiana Interventional and Vascular Services, LLC Vascular & Interventional Radiology CurrentSince Jun 22, 2022 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Mar 7, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Decatur County Memorial Hospital CurrentSince May 27, 2025 Accepting new patients
Decatur County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Riverside Health System CurrentSince Jul 25, 2025 Accepting new patients
Radiology of Indiana P C Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Jul 2, 2012 Accepting new patients
Riverside Health System CurrentSince Jul 25, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Feb 1, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Feb 1, 2026 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
Phone (317) 806-8285

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

611 E Douglas Rd
Ste 200
Mishawaka, IN 46545
Phone (574) 272-5347

611 E Douglas Rd
Ste 207
Mishawaka, IN 46545
Phone (574) 335-6450

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

Interoperability endpoints

  • Direct secure messaging: rgreene@legacy.streamlinemddirect.com
  • Direct secure messaging: rgreene1154392@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1518171107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 CROSSPOINT BLVD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563307",
            "telephone_number": "317-806-8260",
            "fax_number": "317-806-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RYAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01070846A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "2171998",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01070846A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201071020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.