Ryan O'Dell, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR.0066774 Issued in CO

Practice address

2373 G Rd Ste 280
Grand JCT, CO 81505-1006

Phone

(970) 243-9343

Fax

(970) 241-6894

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

General Surgery

Education

Kansas City University of Physicians and Surgeons, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rodell275032@ahs.direct-ci.com

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.

• Community Medical Group, LLC

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634
  Medicare reassignment Care Compare group NPD
• Community Medical Group, LLC

  • Surgery Physician
  • Grand Junction, CO
  • NPI 1164997524
  NPD
• Community Medical Group, LLC

  • Specialist
  • Grand Junction, CO
  • NPI 1720736937
  NPD
• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  NPD (past)
• Community Medical Group

  • Specialist
  • Grand Junction, CO
  • NPI 1689098295
  NPD (past)
• Community Medical Group, LLC

  • Specialist
  • Grand JCT, CO
  • NPI 1265079545
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Colorado West Healthcare System

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1588027247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "702-439-3409",
            "fax_number": "970-241-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 280",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-9343",
            "fax_number": "970-241-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0066774",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Chiropractic Center PC
• Monumental Behavioral Health Services, PLLC
• Herbert Slocum Mooney III, MD
• Aaron Moore, DO
• Jacqueline Nichole Muniz, MS
• Matthew Jarvis Pettit, MFT
• Amber Noel Pitts, MA
• Gabriel Rubio, CHI - SPANISH
• Matthew Kimball Runyan, DO
• Melissa A Schmalz, DO

• Surgery Physician in Grand JCT, CO
• Providers in Grand JCT, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.