Active NPI
Ryan O'Kelley, D.O.
- Diagnostic Radiology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS20263
- Practice address
- 615 N Bonita Ave
Panama City, FL 32401-3623 - Phone
- (850) 769-1511
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS20263 | FL | Primary |
Addresses
Primary practice location
615 N Bonita Ave
Panama City, FL 32401-3623
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003214254A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 N 9TH Ave
Suite 200
Pensacola, FL 32504-8721
Phone (850) 416-4188
Hospital & facility affiliations
- Ascension Sacred Heart Bay
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.11 of 100
- Quality
- 51.32
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 79.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Savannah Vascular Institute, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Sacred Heart Health System Inc | Current | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
4750 Waters Ave
Ste 500
Savannah, GA 31404
Phone (912) 350-5961
Interoperability endpoints
- ryan.okelley.p2@direct.savannahvascular.nextgenshare.com
- ryan.okelley.p1@direct.savannahvascular.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Vascular Surgery Physician
- Savannah, GA
- NPI 1184873390
Vascular & Interventional Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1871887489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013623",
"telephone_number": "850-769-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KELLEY",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS20263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003214254A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.