Active NPI
Ryan Kenneth Dean, DO
- Internal Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 292386
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-5240
- Fax
- (315) 464-3751
- NPI assigned
- Apr 16, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 292386 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 731884637 | NY | |
| Internal Medicine Physician | 207R00000X | 292386 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Syracuse, NY 13210-2306
Other practice location 1
315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550
Other practice location 2
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 Compare- Specialty
- Critical Care (Intensivists)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
5100 W Taft Rd
Liverpool, NY 13088-4841
736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7186
Hospital & facility affiliations
- Crouse Hospital
- Samaritan Hospital of Troy, New York
- St Joseph'S Hospital Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292386 | NY | MD | Critical Care Medicine (Internal Medicine) Physician |
| 731884637 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Crouse Health Hospital Inc | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| St Josephs Medical PC | Internal Medicine | Current | Accepting new patients |
| Pathology Associates of Syracuse, PC | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Internal Medicine | Current | Accepting new patients |
| Auburn Community Hospital | Internal Medicine | Current | Accepting new patients |
| North Medical PC | Internal Medicine | Current | Accepting new patients |
| Crouse Health Hospital, Inc. | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
| Critical Care Associates of Syracuse PC | Critical Care Medicine | Current | Accepting new patients |
| Samaritan Hospital of Troy, New York | Internal Medicine | Current | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- rdean27395@direct.xtensys.com
- rdean2388933@direct.trinity-health.org
Organizations & group practices 13
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Syracuse, NY
- NPI 1942299219
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Internal Medicine
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Internal Medicine
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Internal Medicine
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1629061791
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1679960751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-5240",
"fax_number": "315-464-3751"
}
],
"practiceLocations": [
{
"address_1": "315 S Manning Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081707",
"country_code": "US",
"telephone_number": "518-525-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "RYAN",
"middle_name": "KENNETH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "292386",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "731884637",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "292386",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2215 Burdett Ave",
"city": "Troy",
"state": "NY",
"country_code": "US",
"postal_code": "121802466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.