Active NPI
J. Thomas Ryan, M.D.
- Family Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1790731032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101024132
- Practice address
- 120 Executive Center Pkwy
Fredericksburg, VA 22401-3100 - Phone
- (540) 374-5200
- Fax
- (540) 374-1164
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101024132 | VA | Primary |
Addresses
Primary practice location
120 Executive Center Pkwy
Fredericksburg, VA 22401-3100
Mailing address
2300 Fall Hill Ave
Suite 215
Fredericksburg, VA 22401-3342
Phone (540) 374-5097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632862 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790731032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 FALL HILL AVE",
"address_2": "SUITE 215",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013342",
"telephone_number": "540-374-5097",
"fax_number": "540-374-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 EXECUTIVE CENTER PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013100",
"telephone_number": "540-374-5200",
"fax_number": "540-374-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "J. THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101024132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5632862",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Annie Rose Rutherford, PA-C
- Robin Rutsky, MSW, LCSW
- Larissa K Ruuskanen, PSY.D.
- Ryan M Bailey DDS MD Oral and Maxillofacial Surgery PC
- Bradley C. Ryan, M.D.
- Blair McClintock Ryland Lethbridge, D.O.
- Rosemarie Rynkiewicz, DPM
- Marianne Saade
- Jordin Elaine Saalfrank, MS, CCC-SLP
- Luis Alberto Saavedra Vargas, DNAP, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.