Individual provider Active NPI

Ryan K Cleary, M.D.

  • Radiation Oncology Physician
  • Chattanooga, TN
National Provider Identifier
1609210269
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
57047 Issued in TN
Practice address
605 Glenwood Dr Ste 200
Chattanooga, TN 37404
Phone
(423) 698-1844
Fax
(423) 624-2226
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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
Radiation Oncology Physician 2085R0001X 57047 TN Primary

Addresses

Primary practice location

605 Glenwood Dr Ste 200
Chattanooga, TN 37404

Mailing address

605 Glenwood Dr Ste 200
Chattanooga, TN 37404-1130
Phone (423) 495-7739

Other identifiers 1

IdentifierTypeStateIssuer
Q036275MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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
I20181128001501 TN Practitioner - Radiation Oncology 7618279522 Reassigns benefits to 2 organizations
I20241015000504 GA Practitioner - Radiation Oncology 7618279522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

1032 McCallie Ave
Suite 200
Chattanooga, TN 37403-2836
Phone (423) 708-6495

4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525

4750 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (706) 841-8050

605 Glenwood Dr
Suite 100
Chattanooga, TN 37404-1122
Phone (423) 495-6744

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57047TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Aug 13, 2018 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Sep 1, 2024 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology Past Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

4645 Battlefield Pkwy
Ringgold, GA 30736
Phone (423) 648-2362

4750 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 841-8050

2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

979 E 3rd St
Ste G15
Chattanooga, TN 37403
Phone (423) 490-9080

1635 Gunbarrel Rd
Ste 100
Chattanooga, TN 37421
Phone (423) 778-8525

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

605 Glenwood Dr
Chattanooga, TN 37404
Phone (423) 629-6077

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

605 Glenwood Dr
Ste 100
Chattanooga, TN 37404
Phone (423) 495-6744

4488 Carothers Pkwy
Ste 310
Franklin, TN 37067
Phone (615) 986-4330

250 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 320-5090

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1609210269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041130",
            "telephone_number": "423-495-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "RYAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "57047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036275",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.