Robert Ryerson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

105614 Issued in MO

Practice address

915 N Grand Blvd
Saint Louis, MO 63106-1621

Phone

(314) 652-4100

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Diagnostic Imaging Associates LTD

  • Diagnostic Radiology Physician
  • Chesterfield, MO
  • NPI 1033142146
  Medicare reassignment NPD
• Vista Imaging Partners

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Festus, MO
  • NPI 1780653576
  NPD (past)
• Vista Imaging Partners, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Saint Louis, MO
  • NPI 1427000405
  NPD (past)
• West County Radiological Group, Inc.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1477500585
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1528086931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRL",
            "address_2": "SUITE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311839",
            "telephone_number": "314-821-5600",
            "fax_number": "314-821-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-652-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "105614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203812714",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamen Ryckman, MD
• Justin Charles Ryckman, OTD, OTR/L
• Katelyn A Ryder, RD
• Angela Maria Ryerson, M.D.
• Gabrielle Marie Ryerson, DPT
• Louis Ryes, MD
• Lydia Nicole Rykard, DMD
• Davis Clancy Ryman, MD
• Christina Rymond, MD
• Bryan David Rynearson, MD

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.

Verify at the official NPI Registry.