Organization Active NPI

Ryan J. McCalla, DPM, PA

  • Podiatrist
  • Topeka, KS
National Provider Identifier
1558547356
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200300 Issued in KS
Legal business name
RYAN J. MCCALLA, DPM, PA
Practice address
2010 SW 10TH Ave
Topeka, KS 66604-1406
Phone
(785) 354-7608
Fax
(785) 354-4202
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Ryan J McCalla, DPM, PANPI 1720060825
Title
Member
Phone
(785) 354-7608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1200300 KS Primary

Addresses

Primary practice location

2010 SW 10TH Ave
Topeka, KS 66604-1406

Mailing address

2010 SW 10TH Ave
Topeka, KS 66604-1406
Phone (785) 354-7608

Other identifiers 1

IdentifierTypeStateIssuer
114209OtherKSBLUE CROSS BLUE SHIELD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080516000733 KS Part B Supplier - Clinic/Group Practice 4082783022 Receives reassigned benefits from 1 practitioner
Practice locations: Topeka, KS
O20100930040994 KS DME Supplier - Physician - PodiatryDME Supplier - Prosthetic Personnel 4082783022 Practice locations: Topeka, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advanced Foot Care2010 SW 10TH Ave, Topeka, KS 66604-1406(785) 354-7608 Pneumatic Compression Devices and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2010 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-7608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1558547356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041406",
            "telephone_number": "785-354-7608",
            "fax_number": "785-354-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041406",
            "telephone_number": "785-354-7608",
            "fax_number": "785-354-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN J. MCCALLA, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MCCALLA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "785-354-7608",
        "authorized_official_credential": "DPM, PA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP NUMBER",
            "identifier": "114209",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.