Individual provider Active NPI

Ryan Andrew Odgers, M.D.

  • Orthopaedic Hand Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1891014049
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
51678 Issued in AZ
Practice address
3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227
Phone
(602) 631-3161
Fax
(602) 631-3162
NPI assigned
May 27, 2010
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 51678 AZ
Orthopaedic Hand Surgery Physician 207XS0106X 51678 AZ Primary

Addresses

Primary practice location

3033 N 44TH St Ste 100
Phoenix, AZ 85018-7227

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other identifiers 1

IdentifierTypeStateIssuer
141618MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160712001856 AZ Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 4587956552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2940 E Banner Gateway Dr
Gilbert, AZ 85234-2168

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51678AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery CurrentSince Sep 1, 2016 Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2018 Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Current Accepting new patients
District Medical Group, Inc Orthopaedic Surgery Past Accepting new patients

Locations

18555 N 79th Ave
Ste E101
Glendale, AZ 85308
Phone (602) 631-3161

10144 W Lake Pleasant Pkwy
Ste 1110
Peoria, AZ 85382
Phone (623) 434-5748

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

3033 N 44th St
Ste 120
Phoenix, AZ 85018
Phone (602) 631-3166

3033 N 44th St
Ste 360
Phoenix, AZ 85018

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 944-0181

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Circle the CityPhoenix, AZ, CCN 031925 Federally qualified health center Corporate Officer Dec 1, 2020
Parsons Family Health Center at Circle the CityPhoenix, AZ, CCN 031926 Federally qualified health center Corporate Officer Jan 1, 2022
Circle the City Family Health Center - Umom CampusPhoenix, AZ, CCN 031968 Federally qualified health center Corporate Director Jan 1, 2022
Circle the City Family Health Center, Downtown CampusPhoenix, AZ, CCN 031970 Federally qualified health center Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 1

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1891014049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187227",
            "telephone_number": "602-631-3161",
            "fax_number": "602-631-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODGERS",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "51678",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AZ",
            "license": "51678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.