Individual provider Active NPI

Ryan Katwaroo, MD

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1629710322
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173302 Issued in FL
Practice address
1397 Medical Park Blvd Ste 220
Wellington, FL 33414-3187
Phone
(561) 652-8657
NPI assigned
Apr 12, 2022
Last updated
Jan 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 173302 FL Primary

Addresses

Primary practice location

1397 Medical Park Blvd Ste 220
Wellington, FL 33414-3187

Mailing address

1397 Medical Park Blvd Ste 220
Wellington, FL 33414-3187
Phone (561) 652-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173302FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peopleone Health Medical Group PA Family Medicine PastSince Jun 9, 2024 Accepting new patients

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1629710322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 220",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-652-8656",
            "fax_number": "561-652-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD STE 220",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143187",
            "telephone_number": "561-652-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATWAROO",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "173302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.