Active NPI
Ryan J McClaine, MD
- Family Medicine Physician
- Nome, AK
National Provider Identifier
1710411517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 160563
- Practice address
- 1000 Greg Kruschek Ave
Nome, AK 99762 - Phone
- (907) 443-3311
- NPI assigned
- Apr 18, 2017
- Last updated
- Feb 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 122943 | AK | |
| Family Medicine Physician | 207Q00000X | 160563 | AK | Primary |
Addresses
Primary practice location
1000 Greg Kruschek Ave
Nome, AK 99762
Mailing address
1000 Greg Kruschek Ave
Nome, AK 99762
Other practice location 1
1813 S Heather Meadows Loop
Anchorage, AK 99507-3863
Phone (907) 205-9953
Other practice location 2
1201 E 36th Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160563 | Other | AK | STATE LICENSURE |
| 1670719 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- 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
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Greg Kruschek Ave
Nome, AK 99762-0966
Phone (907) 443-3311
1201 E 36TH Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Norton Sound Health Corporation | Family Medicine | Current | Accepting new patients |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Past | Accepting new patients |
Locations
1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
Interoperability endpoints
- rmcclaine@direct.nshcorp.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Nome, AK
- NPI 1427187046
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nome, AK
- NPI 1225101041
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1710411517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GREG KRUSCHEK AVE",
"city": "NOME",
"state": "AK",
"postal_code": "99762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREG KRUSCHEK AVE",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-3311"
}
],
"practiceLocations": [
{
"address_1": "1813 S Heather Meadows Loop",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995073863",
"country_code": "US",
"telephone_number": "907-205-9953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 E 36th Ave",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084372",
"country_code": "US",
"telephone_number": "907-562-9229",
"fax_number": "907-562-1603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLAINE",
"first_name": "RYAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2023-02-02",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "122943",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "160563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "160563",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1670719",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.