Individual provider Active NPI

Ryan Vandenberg, MD

  • Radiation Oncology Physician
  • Erie, PA
National Provider Identifier
1700314887
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD485103 Issued in PA
Practice address
2508 Myrtle St
Erie, PA 16502-2646
Phone
(814) 452-5400
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X MD485103 PA Primary

Addresses

Primary practice location

2508 Myrtle St
Erie, PA 16502-2646

Mailing address

2508 Myrtle St Ste 100
Erie, PA 16502-2700
Phone (814) 452-5400

Other practice location 1

160 Gallery Dr
Canonsburg, PA 15317-2690
Phone (724) 260-7250

Other practice location 2

565 Coal Valley Rd
Clairton, PA 15025-3703
Phone (412) 267-6900

Other practice location 3

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4049

Other practice location 4

4800 Friendship Ave Ste Gr508
Pittsburgh, PA 15224-1722
Phone (412) 578-1923

Other practice location 5

160 Hollywood Dr
Butler, PA 16001-5600
Phone (724) 671-1440

Other practice location 6

81 Wagner Rd
Monaca, PA 15061-2329
Phone (724) 671-1540

Other practice location 7

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

Other practice location 8

2626 Haymaker Rd
Monroeville, PA 15146-3516
Phone (412) 856-7740

Other practice location 9

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3400

Other practice location 10

6321 Route 30
Greensburg, PA 15601-9703
Phone (724) 671-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240722000780 PA Practitioner - Radiation Oncology 0042547572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Miami, LM Miller School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2508 Myrtle St
Suite 100
Erie, PA 16502-2700
Phone (814) 452-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD485103PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic CurrentSince Jul 1, 2024 Accepting new patients
Allegheny Clinic Single Specialty Current Accepting new patients
Allegheny Clinic Single Specialty Past Accepting new patients

Locations

160 Hollywood Dr
Butler, PA 16001
Phone (724) 282-6175

2508 Myrtle St
Ste 100
Erie, PA 16502
Phone (814) 452-5400

6321 State Route 30
Greensburg, PA 15601
Phone (412) 858-7088

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

160 Gallery Dr
McMurray, PA 15317
Phone (724) 260-7200

81 Wagner Rd
Monaca, PA 15061
Phone (724) 671-1500

2600 Haymaker Rd
Monroeville, PA 15146
Phone (412) 856-7740

2626 Haymaker Rd
Monroeville, PA 15146
Phone (412) 373-4411

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4800 Friendship Ave
Ste GR508
Pittsburgh, PA 15224
Phone (412) 578-1923

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Interoperability endpoints

  • Direct secure messaging: rvandenberg910674@direct.ahn.org

Organizations & group practices 4

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 2

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1700314887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022700",
            "telephone_number": "814-452-5400",
            "fax_number": "814-454-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022646",
            "telephone_number": "814-452-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Gallery Dr",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153172690",
            "country_code": "US",
            "telephone_number": "724-260-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Coal Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Clairton",
            "state": "PA",
            "postal_code": "150253703",
            "country_code": "US",
            "telephone_number": "412-267-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12311 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908344",
            "country_code": "US",
            "telephone_number": "878-332-4049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Friendship Ave Ste Gr508",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241722",
            "country_code": "US",
            "telephone_number": "412-578-1923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Hollywood Dr",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160015600",
            "country_code": "US",
            "telephone_number": "724-671-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Wagner Rd",
            "address_purpose": "LOCATION",
            "city": "Monaca",
            "state": "PA",
            "postal_code": "150612329",
            "country_code": "US",
            "telephone_number": "724-671-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Carlisle St",
            "address_purpose": "LOCATION",
            "city": "Natrona Heights",
            "state": "PA",
            "postal_code": "150651152",
            "country_code": "US",
            "telephone_number": "724-226-7380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Haymaker Rd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463516",
            "country_code": "US",
            "telephone_number": "412-856-7740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6321 Route 30",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156019703",
            "country_code": "US",
            "telephone_number": "724-671-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD485103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.