Active NPI
Ryan Kevin Rider, M.D.
- Emergency Medicine Physician
- Anderson, SC
National Provider Identifier
1659337525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19706
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 512-1335
- Fax
- (864) 512-8575
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19706 | SC | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6306
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T37332 | Medicaid | SC | |
| 595784016A | Medicaid | GA | |
| P00177247 | Other | SC | RAILROAD MEDICARE |
| 5901116 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rrider179001@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Ich ER Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Anmed Health | Emergency Medicine | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Piedmont Pathology Associates PA | Current | Accepting new patients | |
| Mary Black Health System LLC | Past | Accepting new patients | |
| Upstate Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1174002059
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Anatomic Pathology & Clinical Pathology Physician
- Anderson, SC
- NPI 1235101965
-
dba Mary Black Memorial Hospital
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1083640981
-
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1780785675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1659337525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545",
"telephone_number": "864-797-6306",
"fax_number": "864-797-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1335",
"fax_number": "864-512-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "RYAN",
"middle_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "19706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T37332",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "595784016A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00177247",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901116",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrider179001@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rrider179001@direct-srhs.et0939.epichosted.com",
"address_1": "101 E Wood St",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293033040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.