Ryan Duvall, M.D.
Individual provider Active NPI Family Medicine Physician · Durango, CO
NPI 1841428075 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1841428075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 50390 (CO)
- Practice address
- 316 Sawyer Dr
Durango, CO 81303 - Phone
- (970) 259-3110
- Fax
- (970) 259-6605
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Ute Indian Tribe
Practice addresses (Care Compare)
PO Box
Ignacio, CO 81137
Hospital & facility affiliations
- Home Health Mercy
- Mercy Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160328000162 | CO | Practitioner - Family Practice | 5496908154 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50390 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Plata Family Medicine Assoc PC | Family Medicine | Current |
Accepting new patients |
Locations
316 Sawyer Dr
Durango, CO 81303
Phone (970) 259-3110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45531 | KY | |
| Family Medicine Physician | 207Q00000X | 50390 | CO | Yes |
Addresses
Primary practice location
316 Sawyer Dr
Durango, CO 81303
Mailing address
316 Sawyer Dr
Durango, CO 81303-6560
Phone (970) 259-3110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100226480 | Medicaid | KY |
Other providers in Durango, CO
- Durango Ultrasound
- Durango Urgent Care LLC
- Durango Urological Associates PC
- Durango Walk-in Chiropractic
- Carly Duvall
- Paul D Dvirnak
- Rebecca Dworkin
- Susan E Earl
- Earth and Flour PLLC
- Tonya Jividen Ebert
All providers in Durango, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.