Individual provider Active NPI

Ryan Tucker, D.O.

  • Pediatrics Physician
  • Albany, OR
National Provider Identifier
1518386937
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO226501 Issued in OR
Practice address
734 Elm St SW
Albany, OR 97321-1934
Phone
(541) 812-5111
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X DO226501 OR Primary

Addresses

Primary practice location

734 Elm St SW
Albany, OR 97321-1934

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtucker326964@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191230000921 CA Practitioner - Pediatric Medicine 3779856661 Reassigns benefits to 1 organization
I20250715003094 OR Practitioner - Pediatric Medicine 3779856661 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 5, 2025 Accepting new patients
Albany General Hospital CurrentSince Aug 5, 2025 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 5, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Nov 1, 2025 Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Oct 8, 2019 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Aug 5, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

734 Elm St SW
Albany, OR 97321
Phone (541) 812-5111

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1518386937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 ELM ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211934",
            "telephone_number": "541-812-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "559-499-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO226501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtucker326964@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "734 Elm St SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.