Active NPI
Ryan B Greene, MD
- Vascular & Interventional Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01070846A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201071020 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2171998 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Michiana Interventional and Vascular Services, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Radiology of Indiana P C | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Health System | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | 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
- rgreene@legacy.streamlinemddirect.com
- 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.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1992723829
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
- NPI 1386375194
-
- Diagnostic Radiology Physician
- South Bend, IN
- NPI 1770536815
-
dba Decatur County Family Medicine
- Rural Health Clinic/Center
- Greensburg, IN
- NPI 1437900800
-
dba Decatur County Memorial Hospital Medical Group
- General Practice Physician
- Greensburg, IN
- NPI 1619193505
-
dba Gateway Imaging
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
dba Franciscan Health Indianapolis Orthopedic Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
dba Franciscan Health - Indianapolis
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.