Active NPI
Thomas Ryder
- Family Medicine Physician
- Fort George G Meade, MD
National Provider Identifier
1669444865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD067522L
- Practice address
- Usameddac Fort Meade
2481 Llewellyn Avenue
Fort George G Meade, MD 20755 - Phone
- (703) 696-3440
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD067522L | PA | Primary |
Addresses
Primary practice location
Usameddac Fort Meade
2481 Llewellyn Avenue
Fort George G Meade, MD 20755
Mailing address
32 Catin Ave
Quantico, VA 22134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140623002411 | VA | Order and Referring Only - Family Practice | 4981828498 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD067522L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1669444865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CATIN AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "22134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USAMEDDAC FORT MEADE",
"address_2": "2481 LLEWELLYN AVENUE",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "703-696-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2024-05-02",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD067522L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.