Individual provider Active NPI

Oliver Ryan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ypsilanti, MI
National Provider Identifier
1750775896
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002570 Issued in MI
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

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720003096 MI Practitioner - Podiatry 1658681796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

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 Hospital, Ann Arbor, MI, CCN 230156
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • St. Joseph Mercy Hospital-Ann Arbor Inpatient rehabilitation facility, Ann Arbor, MI, CCN 23T156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue103
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002570MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation CurrentSince Oct 1, 2018 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.