Individual provider Active NPI

Ryan S Vitali, M.D.

  • Orthopaedic Surgery Physician
  • Roseville, CA
National Provider Identifier
1801037692
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A106700 Issued in CA
Practice address
1451 Secret Ravine Pkwy Ste 150
Roseville, CA 95661-6052
Phone
(916) 472-6566
Fax
(916) 899-5417
NPI assigned
Mar 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 46228 AZ
Orthopaedic Surgery Physician 207X00000X A106700 CA Primary

Addresses

Primary practice location

1451 Secret Ravine Pkwy Ste 150
Roseville, CA 95661-6052

Mailing address

1451 Secret Ravine Pkwy Ste 150
Roseville, CA 95661-6052
Phone (916) 472-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130827000093 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7113167545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Trauma Surgeons of Northern CaliforniaGroup PAC ID 5698781938, 16 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 781-1000

1451 Secret Ravine Pkwy
Suite 150
Roseville, CA 95661-6052
Phone (916) 472-6566

6620 Coyle Ave
Suite 212
Carmichael, CA 95608-6337
Phone 91653694556

Hospital & facility affiliations

  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement12
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106700CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Vitali, M.D., a Professional Corporation Orthopaedic Surgery CurrentSince Aug 11, 2015 Accepting new patients
Orthopedic Trauma Surgeons of Northern California CurrentSince Nov 19, 2013 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

6620 Coyle Ave
Ste 212
Carmichael, CA 95608
Phone (916) 536-9455

151 N Sunrise Ave
Ste 1103
Roseville, CA 95661
Phone (916) 740-0060

1451 Secret Ravine Pkwy
Ste 150
Roseville, CA 95661
Phone (916) 453-8696

Interoperability endpoints

  • Direct secure messaging: rvitali187312@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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 2

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1801037692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 SECRET RAVINE PKWY STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616052",
            "telephone_number": "916-472-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 SECRET RAVINE PKWY STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956616052",
            "telephone_number": "916-472-6566",
            "fax_number": "916-899-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALI",
        "first_name": "RYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "46228",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A106700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.