Ryan D Crouch, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

118 Issued in NE

Practice address

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442

Phone

(308) 382-2010

Fax

(308) 382-9549

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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

Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bryan Physician Network 236 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Progressive Home Health Home health agency, Grand Island, NE, CCN 287144
• CHI Health at Home - Grand Island Home health agency, Grand Island, NE, CCN 287005
• Aseracare Hospice Hospice, York, NE, CCN 281544
• Eventide Hospice Hospice, Lincoln, NE, CCN 281502
• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023
• Howard County Medical Center Hospital, St Paul, NE, CCN 281338
• Good Samaritan Society - Grand Island Village Nursing home, Grand Island, NE, CCN 285285
• Tiffany Square Nursing home, Grand Island, NE, CCN 285087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcrouch51812@hisp.bryanhealth.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604

  Corporate Director, Corporate Officer

  CMS ownership

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.

• Bryan Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1679528798

  Internal Medicine, NE

  Medicare reassignment Care Compare group NPD
• Grand Island Regional Medical Center

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1225658495

  NE

  Medicare reassignment NPD
• Bryan Physician Network

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1083205512
  Care Compare group
• Integrated Cardiology Group LLC

  • Cardiovascular Disease Physician
  • Lincoln, NE
  • NPI 1982653515
  NPD
• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  NPD (past)

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

• CHI National Home Care, LLC

  • Home Health Agency
  • Grand Island, NE
  • NPI 1437495736
  Care Compare affiliation
• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604

  Hospital

  Care Compare affiliation
• Hospice Preferred Choice, Inc.

  • Community Based Hospice Care Agency
  • York, NE
  • NPI 1285877548

  Hospice

  Care Compare affiliation
• Howard County Medical Center

  • Critical Access Hospital
  • Saint Paul, NE
  • NPI 1922106152

  Hospital

  Care Compare affiliation
• Progressive Home Health & Hospice LLC

  • Home Health Agency
  • Grand Island, NE
  • NPI 1508006982
  Care Compare affiliation
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955

  Hospital

  Care Compare affiliation
• Tabitha, Inc.

  • Community Based Hospice Care Agency
  • Lincoln, NE
  • NPI 1275618753

  Hospice

  Care Compare affiliation
• The Evangelical Lutheran Good Samaritan Society

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1841520723

  Nursing home

  Care Compare affiliation
• VSL Grand Island LLC

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1326578956

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1790724201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071903802",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN RAILROAD",
            "identifier": "110134137",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Cronk, MD
• Ralph D Crosby, MA, LIMHP, PC
• Crossroads Counseling Services PC
• Jory Tyler Crouch, DDS
• Lisa Ann Crouch, RN
• Shayna Marie Crouch, SLP
• Brody William Crowe, RPH
• Kiera Crumm
• Jill Marie Crumrine-Vasquez, MSED, LMHP, LPC
• Pamela Jane Cudaback

• All providers in Grand Island, NE
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.