Individual provider Active NPI

Robert Comel Ryan, MD

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1811940588
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD012760 Issued in LA
Practice address
4228 Houma Blvd
Ste 200
Metairie, LA 70006-3004
Phone
(504) 454-7878
Fax
(504) 883-3775
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD012760 LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Ste 200
Metairie, LA 70006-3004

Mailing address

4228 Houma Blvd
Ste 200
Metairie, LA 70006-3004
Phone (504) 454-7878

Other identifiers 2

IdentifierTypeStateIssuer
1313122MedicaidLA
P00985047OtherLAMCARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100729000264 LA Practitioner - Family Practice 0749313666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 200
Metairie, LA 70006-3004
Phone (504) 454-7878

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC CurrentSince Jan 5, 2011 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Convenient Care LLC CurrentSince Jan 5, 2011 Accepting new patients
Convenient Care LLC Current Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

2380 Oneal Ln
Ste A
Baton Rouge, LA 70816
Phone (225) 214-3714

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

Interoperability endpoints

  • Direct secure messaging: robert.ryan@direct.ejgh.org

Organizations & group practices 5

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 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1811940588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063004",
            "telephone_number": "504-454-7878",
            "fax_number": "504-883-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063004",
            "telephone_number": "504-454-7878",
            "fax_number": "504-883-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ROBERT",
        "middle_name": "COMEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD012760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1313122",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "P00985047",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.