Active NPI
Ryan Leigh Macdonald, PA
- Surgical Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA5484
- Practice address
- 3640 Main St
Suite 302
Springfield, MA 01107-1145 - Phone
- (413) 732-4242
- NPI assigned
- Jan 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA5484 | MA | Primary |
Addresses
Primary practice location
3640 Main St
Suite 302
Springfield, MA 01107-1145
Mailing address
3640 Main St
Suite 302
Springfield, MA 01107-1145
Phone (413) 732-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3640 Main St
Suite 302
Springfield, MA 01107-1134
Phone (855) 830-8346
463 Worcester Rd
Suite 205
Framingham, MA 01701-5354
Phone (855) 830-8346
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5484 | MA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vein Restoration Ma LLC | Current | Accepting new patients |
Locations
463 Worcester Rd
Ste 205
Framingham, MA 01701
Phone (774) 242-4222
89 Main St
Ste 401
Milford, MA 01757
3640 Main St
Ste 302
Springfield, MA 01107
Phone (413) 732-4242
7 Alfred St
Ste 320
Woburn, MA 01801
Phone (781) 505-8760
7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271
Interoperability endpoints
- ryan.macdonaldpa.p3@direct.cvr.nextgenshare.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.
-
- Surgery Physician
- Framingham, MA
- NPI 1518523810
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Woburn, MA
- NPI 1861360992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1518324904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 302",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-732-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 302",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-732-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "RYAN",
"middle_name": "LEIGH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA5484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.