Individual provider Active NPI

Michael Colin Ryan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Webster, NY
National Provider Identifier
1639566003
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
303500 Issued in NY
Practice address
1015 Ridge Rd
Webster, NY 14580-2907
Phone
(585) 586-2020
Fax
(585) 586-2099
NPI assigned
Apr 23, 2015
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 303500 NY Primary

Addresses

Primary practice location

1015 Ridge Rd
Webster, NY 14580-2907

Mailing address

1015 Ridge Rd
Webster, NY 14580-2907
Phone (585) 586-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200729000440 NY Practitioner - Ophthalmology 1355766080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Western New York PLLCGroup PAC ID 0840240941, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

1015 Ridge Rd
Webster, NY 14580-2907

919 Westfall Rd
BLDG a Suite 205
Rochester, NY 14618-2638

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303500NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Retina Specialist Past Accepting new patients

Locations

1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

919 Westfall Rd
Ste A205
Rochester, NY 14618
Phone (585) 244-2580

1015 Ridge Rd
Webster, NY 14580
Phone (585) 244-2580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1639566003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-586-2020",
            "fax_number": "585-586-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-586-2020",
            "fax_number": "585-586-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "303500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.