Individual provider Active NPI

Ryan Andrew Powell, DO

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1700316841
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05648 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4000
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101023409 MI
Emergency Medicine Physician 207P00000X 05648 KY Primary

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

4305 New Shepherdsville Rd
Bardstown, KY 40004-9019
Phone (502) 350-5000

Other identifiers 1

IdentifierTypeStateIssuer
7100921880MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201109002550 IN Practitioner - Emergency Medicine 1153691597
I20201217001543 MI Practitioner - Emergency Medicine 1153691597 Reassigns benefits to 4 organizations
I20230828002884 KY Practitioner - Emergency Medicine 1153691597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

Hospital & facility affiliations

  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05648KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital Current Accepting new patients
Ecs Central Michigan PC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
New Lexington Clinic PSC CurrentSince Jul 15, 2023 Accepting new patients
Scheurer Hospital CurrentSince Sep 1, 2021 Accepting new patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Scheurer Hospital Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Oct 1, 2021 Accepting new patients
New Lexington Clinic, PSC CurrentSince Jul 15, 2023 Accepting new patients
Flaget Healthcare, Inc Past Accepting new patients

Locations

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

Interoperability endpoints

  • Direct secure messaging: rpowell113150@mymichiganhealth.midirect.net
  • Direct secure messaging: rpowell49026@direct.covenanthealthcare.com

Organizations & group practices 10

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 1

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1700316841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 New Shepherdsville Rd",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400049019",
            "country_code": "US",
            "telephone_number": "502-350-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101023409",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "05648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100921880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.