Individual provider Active NPI

Ryan A. McPherson, D.O.

  • Surgical Critical Care Physician
  • Mesa, AZ
National Provider Identifier
1689056186
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
010028 Issued in AZ
Practice address
2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone
(602) 649-2007
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R2477 AZ
Surgery Physician 208600000X T3335 TX
Surgical Critical Care Physician 2086S0102X 010028 AZ Primary

Addresses

Primary practice location

2945 S Dobson Rd
Mesa, AZ 85202-7941

Mailing address

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (602) 649-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20210913000695 TX Practitioner - General Surgery 8527329440 Reassigns benefits to 1 organization
I20240621002295 AZ Practitioner - General Surgery 8527329440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2477AZMDSurgery Physician
010028AZMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Surgical Clinics, LTD Surgery CurrentSince Jul 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 16, 2026 Accepting new patients
Texas Acute Care Surgery LLC Surgery CurrentSince Aug 23, 2022 Accepting new patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Mar 16, 2026 Accepting new patients
Arizona Advanced Surgery LLC Surgery CurrentSince Nov 1, 2024 Accepting new patients
Acute Care Surgical Specialists, LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Desert Medical Center Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

16601 N 40th St
Ste 227
Phoenix, AZ 85032
Phone (602) 633-3721

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

4207 James Casey St
Ste 304
Austin, TX 78745
Phone (512) 402-5806

4310 James Casey St
Ste 3C
Austin, TX 78745
Phone (512) 244-0766

Interoperability endpoints

  • Direct secure messaging: ryan.mcphearson.1@27482.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 8

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 4

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1689056186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027941",
            "telephone_number": "602-649-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027941",
            "telephone_number": "602-649-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "RYAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R2477",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T3335",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.