Individual provider Active NPI

Ryan J Hanisch, M.D.

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1679796783
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
241349-1 Issued in NY
Practice address
3226 S Alameda St
Corpus Christi, TX 78404-2508
Phone
(361) 888-6684
NPI assigned
Apr 10, 2007
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 241349-1 NY Primary

Addresses

Primary practice location

3226 S Alameda St
Corpus Christi, TX 78404-2508

Mailing address

3226 Reid Dr
Corpus Christi, TX 78404-2519
Phone (361) 853-4503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120802000350 TX Practitioner - Diagnostic Radiology 2163678426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Deliverrad PLLCGroup PAC ID 6800150095, 12 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 206-6971

7210 McPherson Rd
Laredo, TX 78041-6507
Phone (956) 796-2595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241349-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging of South Texas,LLP Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Deliverrad PLLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Oct 1, 2017 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

3226 Reid Dr
Corpus Christi, TX 78404
Phone (361) 853-4503

3226 S Alameda St
Corpus Christi, TX 78404
Phone (361) 888-6684

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

1346 Campbell Rd
Houston, TX 77055

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 5

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 5

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1679796783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 REID DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042519",
            "telephone_number": "361-853-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042508",
            "telephone_number": "361-888-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANISCH",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "241349-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.