Individual provider Active NPI

Robert Thomas Ryan III, MD

  • Urology Physician
  • Seguin, TX
National Provider Identifier
1780764258
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L8933 Issued in TX
Practice address
1339 E Court Street
Suite 220
Seguin, TX 78155-5141
Phone
(830) 379-8491
Fax
(830) 386-0395
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L8933 TX Primary

Addresses

Primary practice location

1339 E Court Street
Suite 220
Seguin, TX 78155-5141

Mailing address

1339 E Court Street
Suite 220
Seguin, TX 78155-5141
Phone (830) 379-8491

Other identifiers 5

IdentifierTypeStateIssuer
8CR085OtherTXBCBS
8P2311OtherTXBLUE CROSS BLUE SHIELD
P00141950OtherTXRAIL ROAD MEDICARE
169110701MedicaidTX
169110702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20041115000213 TX Practitioner - UrologyPractitioner - General Surgery 5799749313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians

Practice addresses (Care Compare)

105 Medical
Seguin, TX 78155-5392
Phone (830) 401-7558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
68.71
Promoting interoperability
98
Improvement activities
40
Cost
69.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Regional Medical Group Urology CurrentSince Dec 15, 2010 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Dec 15, 2010 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1339 E Court St
Ste 220
Seguin, TX 78155
Phone (830) 379-0299

105 Medical
Seguin, TX 78155
Phone (830) 240-2826

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

1255 Ashby St
Seguin, TX 78155
Phone (830) 372-0600

Interoperability endpoints

  • Direct secure messaging: robert.ryan.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

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 7

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1780764258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E COURT STREET",
            "address_2": "SUITE 220",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555141",
            "telephone_number": "830-379-8491",
            "fax_number": "830-386-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 E COURT STREET",
            "address_2": "SUITE 220",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555141",
            "telephone_number": "830-379-8491",
            "fax_number": "830-386-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L8933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CR085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8P2311",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00141950",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169110701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169110702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.