Individual provider Active NPI

Ryan Brand Gienapp, DO

  • Internal Medicine Physician
  • Corvallis, OR
National Provider Identifier
1639798267
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO217191 Issued in OR
Practice address
3521 NW Samaritan Dr Ste 201
Corvallis, OR 97330-4744
Phone
(541) 768-5140
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199627 OR
Internal Medicine Physician 207R00000X DO217191 OR Primary

Addresses

Primary practice location

3521 NW Samaritan Dr Ste 201
Corvallis, OR 97330-4744

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgienapp191181@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230918001816 OR Practitioner - Internal Medicine 6709207277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

3521 NW Samaritan Dr
Corvallis, OR 97330-4744

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

3615 NW Samaritan Dr
Corvallis, OR 97330-3771

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Eugene, OR, CCN 387140
  • First Call Home Health Agency, LLC Home health agency, Salem, OR, CCN 387147
  • Amedisys Home Health Care Home health agency, Salem, OR, CCN 387136
  • Mission Home Health of Salem Home health agency, Salem, OR, CCN 387108
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199627ORMDInternal Medicine Physician
DO217191ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Sep 18, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 18, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3521 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-5140

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

Organizations & group practices 3

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 77

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

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1639798267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NW SAMARITAN DR STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304744",
            "telephone_number": "541-768-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIENAPP",
        "first_name": "RYAN",
        "middle_name": "BRAND",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "199627",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO217191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgienapp191181@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3521 NW Samaritan Dr Ste 201",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973304744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.