Holly Ryan, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

13423932-1205 Issued in UT

Practice address

1160 E 3900 S Ste 3100
Salt Lake City, UT 84124-1202

Phone

(801) 262-2806

Fax

(801) 262-2023

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Vascular Surgery

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountainstar Cardiovascular Services LLCGroup PAC ID 1951404110, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

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.

• Mountainstar Cardiovascular Services LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Salt Lake City, UT
  • NPI 1689721219
  Medicare reassignment Care Compare group NPD
• Mountainstar Cardiology St Marks LLC

  • Interventional Cardiology Physician
  • Salt Lake City, UT
  • NPI 1437446168
  NPD (past)
• Northern Utah Healthcare Corporation

  • Psychiatric Hospital Unit
  • Salt Lake City, UT
  • NPI 1457794323
  NPD (past)

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

• Northern Utah Healthcare Corporation

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1730610015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281490",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 3100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-262-2806",
            "fax_number": "801-262-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "HOLLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "UT",
            "license": "13423932-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Leybas PLLC
• Austin Ryan-Mas
• Amy Jo Ryan, PHARMD
• Chantel Kathleen Ryan
• Guy Ryan
• Jessica Lorraine Ryan, DPT
• Joan Kathleen Ryan, MS, RD, CD, CNSC
• John Joseph Ryan, MBBCHBAO
• Keegan Marie Ryan, PT, DPT
• Kelly Lynn Ryan

• Vascular Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Vascular Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.