Active NPI
Oliver Ryan, DPM
- Foot & Ankle Surgery Podiatrist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901002570
- Practice address
- 5333 McAuley Dr RM 4012
Ypsilanti, MI 48197 - Phone
- (734) 572-1141
- Fax
- (734) 572-1142
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002570 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr RM 4012
Ypsilanti, MI 48197
Mailing address
24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Other practice location 1
990 W Ann Arbor Trl Ste 200
Plymouth, MI 48170
Phone (734) 414-0874
Other practice location 2
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800
Other practice location 3
990 W Ann Arbor Trl Ste 200
Plymouth, MI 48170
Phone (734) 414-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5333 McAuley Dr
RM 4012
Ypsilanti, MI 48197-1099
Phone (734) 572-1141
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Livingston Hospital
- Chelsea Hospital
- St. Joseph Mercy Hospital-Ann Arbor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 103 |
| Removal of nail tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002570 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
1600 S Canton Center Rd
Ste 2200
Canton, MI 48188
Phone (208) 891-5673
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
19000 St Joes Pkwy
Ste 410
Livonia, MI 48152
Phone (734) 572-1141
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
990 W Ann Arbor Trl
Ste 200
Plymouth, MI 48170
Phone (734) 414-0874
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
5333 McAuley Dr
Rm 4012
Ypsilanti, MI 48197
Phone (734) 572-1141
Interoperability endpoints
- oryan40808@direct.trinity-health.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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Podiatrist
- Ypsilanti, MI
- NPI 1588141402
-
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- Rehabilitation Hospital Unit
- Ypsilanti, MI
- NPI 1497801518
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1750775896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 4012",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-572-1141",
"fax_number": "734-572-1142"
}
],
"practiceLocations": [
{
"address_1": "990 W Ann Arbor Trl Ste 200",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MI",
"postal_code": "48170",
"country_code": "US",
"telephone_number": "734-414-0874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "734-655-4800",
"fax_number": "734-655-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "990 W Ann Arbor Trl Ste 200",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MI",
"postal_code": "48170",
"country_code": "US",
"telephone_number": "734-414-0874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "OLIVER",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.