Individual provider Active NPI

Jay Daniel Ryan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1649573205
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301047 Issued in VA
Practice address
2826 Old Lee Hwy
Suite 220
Fairfax, VA 22031-4323
Phone
(703) 205-0770
NPI assigned
Dec 20, 2010
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301047 VA Primary

Addresses

Primary practice location

2826 Old Lee Hwy
Suite 220
Fairfax, VA 22031-4323

Mailing address

2826 Old Lee Hwy
Suite 220
Fairfax, VA 22031-4323
Phone (703) 205-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000148 DC Practitioner - Podiatry 2163694621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Hoa Kaas DPM PCGroup PAC ID 3375549009, 2 clinicians

Practice addresses (Care Compare)

2826 Old Lee Hwy
Suite 220
Fairfax, VA 22031-4348
Phone (703) 205-0770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)30
Melanoma (skin cancer) excision1-10
Removal of tissue355
Removal of skin lesions25
Removal of nail tissue436
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
My Hoa Kaas DPM PC Foot & Ankle Surgery CurrentSince Aug 29, 2011 Accepting new patients

Locations

2826 Old Lee Hwy
Ste 220
Fairfax, VA 22031
Phone (703) 205-0667

Interoperability endpoints

  • Direct secure messaging: jayryan@vfac.allscriptsdirect.net

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.

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1649573205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-205-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 220",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-205-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JAY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.