Individual provider Active NPI

Ryan Howard Nicholas, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1881731610
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62508 Issued in TN
Practice address
3727 Clarksville Pike
Nashville, TN 37218-2201
Phone
(629) 895-0080
Fax
(629) 895-5389
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62508 TN Primary

Addresses

Primary practice location

3727 Clarksville Pike
Nashville, TN 37218-2201

Mailing address

3727 Clarksville Pike
Nashville, TN 37218-2201
Phone (629) 895-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081222000109 CA Practitioner - Family Practice 5496817710 Reassigns benefits to 1 organization
I20230323003090 TN Practitioner - Family Practice 5496817710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62508TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Apr 26, 2010 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Apr 26, 2010 Accepting new patients
Mark a Fujikawa & Stephen R Chun PTR PastSince May 28, 2015 Accepting new patients

Locations

3581 Palmer Dr
Ste 401
Cameron Park, CA 95682
Phone (530) 676-4122

6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500

6403 Coyle Ave
Ste 250
Carmichael, CA 95608
Phone (916) 961-2820

8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726

2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500

8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

3727 Clarksville Pike
Nashville, TN 37218
Phone (629) 895-0080

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1881731610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 CLARKSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182201",
            "telephone_number": "629-895-0080",
            "fax_number": "629-895-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 CLARKSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372182201",
            "telephone_number": "629-895-0080",
            "fax_number": "629-895-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "RYAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "62508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.