Ryan Gelsinger

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101270349 Issued in VA

Practice address

47149 Buse Rd BLDG 1370
Patuxent River, MD 20670-1540

Phone

(301) 342-5491

NPI assigned

Jan 18, 2019

Last updated

Nov 30, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1770057119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ROMPER RD",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609675",
            "telephone_number": "201-230-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47149 BUSE RD BLDG 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701540",
            "telephone_number": "301-342-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Romper Rd",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "284609675",
            "country_code": "US",
            "telephone_number": "201-230-5636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Wallace Creek 500",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "28547",
            "country_code": "US",
            "telephone_number": "910-449-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELSINGER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101270349",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101270349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Dyson, DPT
• Bertrand Nkafu Andukwa Ebunji, MD
• Steven Elek IV
• Bonnie S. Garbutt, O.D.
• Kassidy Garcia
• Bethany Jewell God, M.D.
• Allen Grove, PH.D.
• Kelly M. Harvey
• Christopher Demarcus Hawkins, I.D.C.
• Heather Denise Henderson

• General Practice Physician in Patuxent River, MD
• Providers in Patuxent River, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.