NPIMap

Individual provider Active NPI

Ryan Andrew Wetzel, MD

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
National Provider Identifier
1699984690
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
33017 Issued in SC
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 256-4107
Fax
(803) 253-6676
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 33017 SC Primary

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214002280 IN Practitioner - Physical Medicine and Rehabilitation 3870780729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Easter Seals Rehabilitation Center IncGroup PAC ID 8426135179, shared by 3 NPIs, 41 clinicians

Practice addresses (Care Compare)

225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558

3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411

5625 Pearl Dr
Suite 101
Evansville, IN 47712-8106
Phone (812) 477-1558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Medicine & Rehabilitation Current Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Medicine & Rehabilitation CurrentSince Apr 1, 2020 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
St. Mary'S Health, Inc Past Accepting new patients
Oaktree Medical Centre, PC Past Accepting new patients

Locations

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

8450 Northwest Blvd
Indianapolis, IN 46278

109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447

109 US Highway 66 E
Ste 133
Tell City, IN 47586

421 E Van Trees St
Fl 2
Washington, IN 47501

Interoperability endpoints

  • Direct secure messaging: 07wetr@tsos.srs-direct.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1699984690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107",
            "fax_number": "803-253-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-256-4107",
            "fax_number": "803-253-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "33017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.