Ryan Matthew Carlson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

51674 Issued in MN

Practice address

401 Phalen Blvd - Ms 41104a
Healthpartners Specialty Center 401
St. Paul, MN 55130-5302

Phone

(651) 254-7980

Fax

(651) 254-7969

NPI assigned

Apr 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, MA2 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 2

Specialty

General Surgery

Education

University of Chicago, Pritzker School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Affiliates of Cape Cod Inc 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
• Centerwell Home Health Home health agency, Sandwich, MA, CCN 227426
• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
• Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927

  MA, Surgery

  Medicare reassignment Care Compare group NPD
• Allina Health System

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342

  MN

  Medicare reassignment NPD
• Allina Health System

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249

  MN

  Medicare reassignment NPD
• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  MN

  Medicare reassignment NPD
• Medical Affiliates of Cape Cod, Inc.

  • Ambulatory Surgical Clinic/Center
  • Mashpee, MA
  • NPI 1306391206
  Care Compare group NPD
• Allina Health System

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1013213826
  NPD
• Allina Health System

  • Emergency Medicine Physician
  • Faribault, MN
  • NPI 1063832475
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Group Health, Inc.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Visiting Nurse Association of Cape Cod, Inc.

  • Home Health Agency
  • South Dennis, MA
  • NPI 1649258278
  Care Compare affiliation Name & address match
• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671

  Hospital

  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Sandwich, MA
  • NPI 1912934696
  Care Compare affiliation
• Falmouth Hospital Association Inc

  • General Acute Care Hospital
  • Falmouth, MA
  • NPI 1336106806

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1720221963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "address_2": "MS 11502V",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-7980",
            "fax_number": "651-254-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PHALEN BLVD - MS 41104A",
            "address_2": "HEALTHPARTNERS SPECIALTY CENTER 401",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551305302",
            "telephone_number": "651-254-7980",
            "fax_number": "651-254-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "51674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Annette Carlson, RN
• Noah Roberts Carlson, PA
• Pam Carlson, CRNA
• Robert H Carlson, PAC
• Robin Ann Carlson
• Victoria Marie Carlson, LPCC
• Jonah Carlstrom, MA
• Carly C. Lawson, DDS, PLLC
• Paige E Carman, PT
• Gayle Shannon Carney, LSW

• All providers in St. Paul, MN
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.

Verify at the official NPI Registry.