Individual provider Active NPI

John J Ryan, MD

  • Vascular & Interventional Radiology Physician
  • Gainesville, FL
National Provider Identifier
1720070279
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME70057 Issued in FL
Practice address
6716 NW 11TH Place
Ste 200
Gainesville, FL 32605-4215
Phone
(352) 331-9729
Fax
(352) 331-0137
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME70057 FL
Vascular & Interventional Radiology Physician 2085R0204X ME70057 FL Primary

Addresses

Primary practice location

6716 NW 11TH Place
Ste 200
Gainesville, FL 32605-4215

Mailing address

6716 NW 11TH Place
Ste 200
Gainesville, FL 32605-4215
Phone (352) 331-9729

Other identifiers 4

IdentifierTypeStateIssuer
P01008974OtherFLRAILROAD MEDICARE
P00999969OtherFLRAILROAD MEDICARE
255393700MedicaidFL
43566OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090114000253 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1355330036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Massachusetts Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians
North Florida Outpatient Imaging Center LTDGroup PAC ID 5991786410, 25 clinicians
Doctors Imaging Group LLCGroup PAC ID 3476457862, 24 clinicians

Practice addresses (Care Compare)

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

6605 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-4703

6716 NW 11TH PL
Suite 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70057FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Radiology Group of Gainesville LLC Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Doctors Imaging Group LLC Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
North Florida Outpatient Imaging Center LTD CurrentSince Jul 1, 2020 Accepting new patients
Anchor Health Centers PA Diagnostic Radiology Past Accepting new patients

Locations

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6716 NW 11th Pl
Gainesville, FL 32605
Phone (352) 331-9829

6605 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-4676

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

6685 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 331-8888

3140 NW Medical Center Ln
Ste 100
Lake City, FL 32055
Phone (386) 752-4004

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 11

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1720070279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PLACE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054215",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME70057",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME70057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01008974",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00999969",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255393700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "43566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.