Michael Patrick Ryder, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21881 Issued in CA

Practice address

275 Blomquist St
Redwood City, CA 94063-2718

Phone

(209) 231-0808

Fax

(877) 883-6503

NPI assigned

Jun 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, CA2 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

Undefined Physician Type (Specify)

Education

University of North Texas HSC, College of Osteopathic Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare in Action Medical GroupGroup PAC ID 4981093093, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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.

• Healthcare in Action Medical Group

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1881360758
  Medicare reassignment Care Compare group NPD
• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972

  Family Medicine

  Medicare reassignment NPD
• Duke University Affiliated Physicians

  • Family Medicine Physician
  • Cary, NC
  • NPI 1053791343
  NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795

  Family Medicine

  NPD
• Duke University Affiliated Physicians, Inc.

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1932137676
  NPD
• El Camino Health Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • Los Gatos, CA
  • NPI 1578831764
  NPD (past)
• Front Royal Family Practice, P.C.

  • Family Medicine Physician
  • Front Royal, VA
  • NPI 1750434072
  NPD (past)
• Rex Hospital Inc

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1972939643
  NPD (past)
• Sentara RMH Medical Center

  • General Practice Physician
  • Harrisonburg, VA
  • NPI 1417027608
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720439607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CARDIFF LN",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613679",
            "telephone_number": "209-231-0808",
            "fax_number": "877-883-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BLOMQUIST ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632718",
            "telephone_number": "209-231-0808",
            "fax_number": "877-883-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-01955",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116029717",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "21881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Mark Rusovick, LMFT, PHD
• Julianne Russell
• James R Rutherford
• RX America
• Lisa D Ryder, PA-C
• Jan Todd Rydfors, MD
• Jeffrey Alan Saal, MD
• Joel Stuart Saal, MD
• Marianne Lacandazo Saavedra
• Nahid Saba

• Family Medicine Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.