Individual provider Active NPI

Ryan Robert Maenpa, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Centerville Finance, OH
National Provider Identifier
1871571760
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35-08-8161-M Issued in OH
Practice address
1975 Miamisburg Centerville Rd
Centerville Finance, OH 45459-3811
Phone
(937) 298-5536
Fax
(937) 298-5596
NPI assigned
Jan 3, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35-08-8161-M OH Primary

Addresses

Primary practice location

1975 Miamisburg Centerville Rd
Centerville Finance, OH 45459-3811

Mailing address

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

Other identifiers 1

IdentifierTypeStateIssuer
2666806MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060816000128 OH Practitioner - Physical Medicine and Rehabilitation 5698785657 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Center for Neurological Disorders IncGroup PAC ID 4082501853, 26 clinicians

Practice addresses (Care Compare)

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC CurrentSince May 1, 2020 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Nov 23, 2013 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Nov 23, 2013 Accepting new patients
Dayton Center for Neurological Disorders Inc Physical Medicine & Rehabilitation CurrentSince Jul 1, 2006 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince May 1, 2020 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

2510 Commons Blvd
Ste 276
Beavercreek, OH 45431

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3700 Southern Blvd
Ste 5200
Kettering, OH 45429

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

113 W National Rd
Vandalia, OH 45377
Phone (937) 223-6837

1975 Miamisburg Centerville Rd
Washington Township, OH 45459

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rmaenpa699680@direct.bsmhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1871571760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-298-5536",
            "fax_number": "937-298-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENPA",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35-08-8161-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2666806",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville Finance, OH

Sources for this page

Verify at the official NPI Registry.