Individual provider Active NPI

William John Ryan, MD

  • Pulmonary Disease Physician
  • Boerne, TX
National Provider Identifier
1841271319
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F2431 Issued in TX
Practice address
34910 Interstate 10 W
Suite 601
Boerne, TX 78006-9229
Phone
(830) 248-1207
Fax
(830) 331-1110
NPI assigned
Nov 10, 2005
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X F2431 TX Primary

Addresses

Primary practice location

34910 Interstate 10 W
Suite 601
Boerne, TX 78006-9229

Mailing address

34910 Interstate 10 W
Suite 601
Boerne, TX 78006-9229
Phone (830) 248-1207

Other identifiers 1

IdentifierTypeStateIssuer
046830802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150128001755 TX Practitioner - Pulmonary Disease 5496765646 Practice locations: Boerne, TX

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34910 Ih 10
Suite 601
Boerne, TX 78006-9230

34910 Ih 10 W
601 Pulmonary Medicine of Boerne
Boerne, TX 78006-9230
Phone (830) 248-1207

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F2431TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Pulmonary Associates Pulmonary Disease Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1841271319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W",
            "address_2": "SUITE 601",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069229",
            "telephone_number": "830-248-1207",
            "fax_number": "830-331-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W",
            "address_2": "SUITE 601",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069229",
            "telephone_number": "830-248-1207",
            "fax_number": "830-331-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F2431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046830802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.