Individual provider Active NPI

William D Ryan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
National Provider Identifier
1659694735
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.169500 Issued in OR
Practice address
9205 SW Barnes Rd
Pathology
Portland, OR 97225-6603
Phone
(503) 216-7525
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A102681 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 46100 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.169500 OR Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.60491105 WA

Addresses

Primary practice location

9205 SW Barnes Rd
Pathology
Portland, OR 97225-6603

Mailing address

4400 NE Halsey St
BLDG. 3
Portland, OR 97213-1545

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
I20141204002495 OR Practitioner - Pathology 5991960411 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
George Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians

Practice addresses (Care Compare)

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1555

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300

200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

810 12TH St
Hood River, OR 97031-1587
Phone (541) 387-6445

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
96.73

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
84.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
84.49

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
83
Promoting interoperability
100
Improvement activities
40
Cost
89.32

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
98.12
Promoting interoperability
100
Improvement activities
40
Cost
80.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46100AZMDAnatomic Pathology & Clinical Pathology Physician
A102681CAMDAnatomic Pathology & Clinical Pathology Physician
MD.169500ORMDAnatomic Pathology & Clinical Pathology Physician
MD.60491105WAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 6, 2015 Accepting new patients
Providence Health & Services Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Oct 11, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Oct 11, 2014 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology Current Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Oct 11, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 6, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 2, 2015 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 6, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 2, 2015 Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

4400 NE Halsey St
Bldg 3
Portland, OR 97213
Phone (503) 215-6660

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1659694735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NE HALSEY ST",
            "address_2": "BLDG. 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "address_2": "PATHOLOGY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A102681",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "46100",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD.169500",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD.60491105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.