Individual provider Active NPI

Daniel Joseph Ryan, MD

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1629040068
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301068574 Issued in MI
Practice address
1113 Villa Linde CT
Flint, MI 48532
Phone
(810) 733-1214
Fax
(810) 733-3011
NPI assigned
Feb 1, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301068574 MI Primary

Addresses

Primary practice location

1113 Villa Linde CT
Flint, MI 48532

Mailing address

1113 Villa Linde CT
Flint, MI 48532
Phone (810) 733-1214

Other identifiers 13

IdentifierTypeStateIssuer
1802505282OtherMIBCBS
1802505282OtherMIBLUE CARE NETWORK
0988882OtherGENESEE HEALTH PLAN
1004688OtherMCLAREN HEALTH ADVANTAGE
7650196OtherAETNA
1867250OtherFIRST HEALTH
C7308OtherKIDS CARE OF MI
DR068574OtherBLUE CHOICE THRU BCN
C7308OtherMIM-CARE
0988882OtherMIHEALTH PLUS
1004688OtherMCLAREN HEALTH PLAN
4218962MedicaidMI
H19526OtherHEALTH ALLIANCE PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040902000297 MI Practitioner - Ophthalmology 4981679990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1113 Villa Linde CT
BLDG 35
Flint, MI 48532-3410
Phone (810) 733-1214

Merit-based Incentive Payment System (MIPS)

Final score
85.86 of 100Reported as individual
Quality
82
Improvement activities
40
Cost
76.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068574MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Ryan MD PC Ophthalmology CurrentSince May 30, 2002 Accepting new patients

Locations

1113 Villa Linde Ct
Flint, MI 48532
Phone (810) 732-6231

1113 Villa Linde Ct
Bldg 3
Flint, MI 48532
Phone (810) 733-1214

1113 Villa Linde Ct
Bldg 35
Flint, MI 48532
Phone (810) 733-1214

2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790

Interoperability endpoints

  • Direct secure messaging: dryan1149855@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/K5AZLDonMdOUURhD3rPUNxDoRLOgChcj/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1629040068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 VILLA LINDE CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-733-1214",
            "fax_number": "810-733-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 VILLA LINDE CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-733-1214",
            "fax_number": "810-733-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301068574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1802505282",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1802505282",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESEE HEALTH PLAN",
            "identifier": "0988882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1004688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7650196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1867250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDS CARE OF MI",
            "identifier": "C7308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE THRU BCN",
            "identifier": "DR068574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C7308",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0988882",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1004688",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4218962",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "H19526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.