NPIMap

Individual provider Active NPI

Mercedes Ryan, M.D.

  • Pediatrics Physician
  • Salina, KS
National Provider Identifier
1891143004
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0442381 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 100
Salina, KS 67401
Phone
(785) 825-2273
Fax
(785) 825-2275
NPI assigned
May 27, 2016
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0442381 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 100
Salina, KS 67401

Mailing address

501 S Santa Fe Ave
Suite 100
Salina, KS 67401
Phone (785) 825-2273

Other identifiers 1

IdentifierTypeStateIssuer
201252450AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002666 KS Practitioner - Pediatric Medicine 0648565804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

906 McKinley St
Great Bend, KS 67530-4720
Phone (620) 793-6990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0442381KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas Current Accepting new patients
The Clara Barton Hospital Association, Inc. Hoisington Kansas CurrentSince Jun 1, 2024 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas CurrentSince Jun 1, 2024 Accepting new patients
The Clara Barton Hospital Association Inc Hoisington Kansas Past Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Pediatrics PastSince Jan 1, 1999 Accepting new patients

Locations

906 McKinley St
Great Bend, KS 67530
Phone (620) 793-6990

250 W 9th St
Hoisington, KS 67544
Phone (620) 653-2114

252 W 9th St
Ste A
Hoisington, KS 67544
Phone (620) 653-2386

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/70091b8b-c363-42f8-b4d5-3b99f0fb60f1/
  • Direct secure messaging: mercedes.ryan@srhcdirect.com

Organizations & group practices 5

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 5

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1891143004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-2273",
            "fax_number": "785-825-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-2273",
            "fax_number": "785-825-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MERCEDES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0442381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201252450A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.