Individual provider Active NPI

Ralph S Ryback, MD LP

  • General Practice Physician
  • Lehigh Acres, FL
National Provider Identifier
1831146141
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 92563 Issued in FL
Practice address
1303 Homestead Rd N
#102
Lehigh Acres, FL 33936-6049
Phone
(239) 303-2700
Fax
(239) 303-2756
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME92563 FL
Primary Care Clinic/Center 261QP2300X NPI1508179490 FL
General Practice Physician 208D00000X ME 92563 FL Primary

Addresses

Primary practice location

1303 Homestead Rd N
#102
Lehigh Acres, FL 33936-6049

Mailing address

1415 Panther LN
#248
Naples, FL 34109-7874
Phone (239) 775-4500

Other practice location 1

865 91st Ave N
Naples, FL 34108-2426
Phone (239) 434-6596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050413000345 FL Practitioner - PsychiatryPractitioner - Neurology 2860439627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Wayne State University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Health Organization IncGroup PAC ID 8123113750, 3 clinicians

Practice addresses (Care Compare)

865 -867
Naples, FL 34108-2426
Phone (239) 434-6596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83092SCMDEmergency Medicine Physician
ME 92563FLMDGeneral Practice Physician
NPI1508179490FLMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Organization Inc. General Practice CurrentSince Mar 1, 2023 Accepting new patients
Prime Healthcare Services - Lehigh Physician Management LLC CurrentSince Dec 1, 2019 Accepting new patients
Dynamic Health & Wellness Inc, General Practice CurrentSince Oct 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Samuel T Pinosky Mdpa Psychiatry Past Accepting new patients

Locations

1530 Lee Blvd
Ste 1300
Lehigh Acres, FL 33936
Phone (239) 368-5777

1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936
Phone (239) 303-2600

865 91st Ave N
Naples, FL 34108
Phone (239) 434-6596

320 W Fletcher Ave
Ste 105
Tampa, FL 33612
Phone (813) 252-6114

Interoperability endpoints

  • Direct secure messaging: ralphryback@arh.medalliesdirect.net
  • Direct secure messaging: medicalcentrelehighacres.ralphryback@140595.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1831146141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "address_2": "#248",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-775-4500",
            "fax_number": "239-775-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HOMESTEAD RD N",
            "address_2": "#102",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366049",
            "telephone_number": "239-303-2700",
            "fax_number": "239-303-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 91st Ave N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341082426",
            "country_code": "US",
            "telephone_number": "239-434-6596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBACK",
        "first_name": "RALPH",
        "middle_name": "S",
        "credential": "MD LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92563",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "NPI1508179490",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 92563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.