Active NPI
Ryan M Goens, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001363A
- Practice address
- 489 5TH Ave FL 3
New York, NY 10017-6145 - Phone
- (415) 658-6791
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10001363A | IN | |
| Physician Assistant | 363A00000X | 035755 | NY | |
| Surgical Physician Assistant | 363AS0400X | 99049555A | IN | |
| Physician Assistant | 363A00000X | 10001363A | IN | Primary |
Addresses
Primary practice location
489 5TH Ave FL 3
New York, NY 10017-6145
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
3545 W 86th St
Indianapolis, IN 46268-1930
Phone (317) 228-0419
Other practice location 2
500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924
Phone (812) 918-5907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264430008 | Other | IN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1036 Broad Ripple Ave
Indianapolis, IN 46220-2035
Phone (317) 759-9960
222 W Michigan St
Iu Health Urgent Care LLC Downtow
Indianapolis, IN 46204-1254
Phone (225) 214-9352
90 E Garner Rd
Iu Health Urgent Care LLC
Brownsburg, IN 46112-9359
Phone (225) 214-1031
Hospital & facility affiliations
- Indiana University Health
- Indiana University Health North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001363A | IN | MD | Surgical Physician Assistant |
| 99049555A | IN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
500 S Liberty Dr
Ste 482
Bloomington, IN 47403
Phone (812) 353-3443
90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
3545 W 86th St
Indianapolis, IN 46268
Phone (317) 228-0419
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
Interoperability endpoints
- rgoens@direct.iuhealth.org
- rgoens220665@ecommunitydirect.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Greenwood, IN
- NPI 1750763819
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Urgent Care Clinic/Center
- Brownsburg, IN
- NPI 1114302965
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1972273654
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1598032153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176145",
"telephone_number": "415-658-6791"
}
],
"practiceLocations": [
{
"address_1": "3545 W 86th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462681930",
"country_code": "US",
"telephone_number": "317-228-0419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 S Liberty Dr Ste 482",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474031924",
"country_code": "US",
"telephone_number": "812-918-5907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOENS",
"first_name": "RYAN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10001363A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "035755",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "99049555A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001363A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "264430008",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.