NPIMap

Individual provider Active NPI

Ryan J Koene, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Saint Paul, MN
National Provider Identifier
1639464498
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35.135888 Issued in OH
Practice address
172 6TH St E
Saint Paul, MN 55101-1993
Phone
(414) 303-4240
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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
Clinical Cardiac Electrophysiology Physician 207RC0001X 35.135888 OH Primary

Addresses

Primary practice location

172 6TH St E
Saint Paul, MN 55101-1993

Mailing address

172 6TH St E
Saint Paul, MN 55101-1993
Phone (414) 303-4240

Other practice location 1

2600 Sixth St SW Ste 710
Canton, OH 44710-1702
Phone (330) 454-8076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000837 OH Practitioner - Cardiac Electrophysiology 0446489983 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Wisconsin School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
63.25
Promoting interoperability
98
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Aultman Hospital Current Accepting new patients
Orrville Hospital Foundation CurrentSince Jun 12, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Jun 12, 2023 Accepting new patients
Alliance Community Hospital CurrentSince Apr 1, 2025 Accepting new patients
Aultman Hospital CurrentSince Jul 15, 2019 Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC Clinical Cardiac Electrophysiology CurrentSince Jan 6, 2020 Accepting new patients
Aultman Hospital Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Cardiovascular Consultants, Inc. Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Ste 710
Canton, OH 44710

2600 6th St SW
Ste A2800
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

603 Monroe St
Ste 101
Dover, OH 44622

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

Interoperability endpoints

  • Direct secure messaging: ryan.koene@direct.aultman.org

Organizations & group practices 10

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 3

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1639464498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011993",
            "telephone_number": "414-303-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011993",
            "telephone_number": "414-303-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sixth St SW Ste 710",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447101702",
            "country_code": "US",
            "telephone_number": "330-454-8076",
            "fax_number": "330-454-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENE",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35.135888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.