Individual provider Active NPI

Ryan James Krogmann, D.O.

  • Otolaryngology Physician
  • Davenport, IA
National Provider Identifier
1659811701
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DO-05960 Issued in IA
Practice address
3385 Dexter CT
Davenport, IA 52807-3494
Phone
(330) 971-7207
NPI assigned
Mar 7, 2017
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X DO-05960 IA Primary

Addresses

Primary practice location

3385 Dexter CT
Davenport, IA 52807-3494

Mailing address

3385 Dexter CT
Davenport, IA 52807-3494
Phone (563) 357-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220606002817 IL Practitioner - Otolaryngology 7911385844 Reassigns benefits to 2 organizations
I20221012000359 IA Practitioner - Otolaryngology 7911385844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 779-3100

600 John Deere Rd
Suite 400
Moline, IL 61265-6812
Phone (309) 623-7470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 26, 2024 Accepting new patients
ENT Professional Services, PC CurrentSince Jul 25, 2022 Accepting new patients
ENT Hearing AIDS, LLC PastSince Jul 25, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

3385 Dexter Ct
Davenport, IA 52807
Phone (563) 344-6645

3385 Dexter Ct
Ste 101
Davenport, IA 52807
Phone (319) 359-1646

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 John Deere Rd
Ste 400
Moline, IL 61265
Phone (309) 779-4600

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.237
  • Direct secure messaging: rkrogmann@entprofessional.gwaydirect.com
  • Direct secure messaging: rkrogmann399491@direct.unitypoint.org

Organizations & group practices 4

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 3

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1659811701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073494",
            "telephone_number": "563-357-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073494",
            "telephone_number": "330-971-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGMANN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "DO-05960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.