Individual provider Active NPI

Kyle Matthew Ryberg, M.D.

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1891144648
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL39463 Issued in SC
Practice address
2000 E Greenville St
Suite 3600
Anderson, SC 29621-1580
Phone
(864) 224-8100
NPI assigned
Jun 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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 LL39463 SC Primary

Addresses

Primary practice location

2000 E Greenville St
Suite 3600
Anderson, SC 29621-1580

Mailing address

30 N Avondale Dr
Greenville, SC 29609-4755
Phone (864) 498-2897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180928002117 SC Practitioner - Family Practice 0143518159 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL39463SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Family Medicine CurrentSince Aug 15, 2019 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Anmed Health Current Accepting new patients
St Francis Physician Services Inc Family Medicine CurrentSince Aug 15, 2019 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Ste 3600
Anderson, SC 29621
Phone (864) 512-1115

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

700 Brushy Creek Rd
Easley, SC 29642
Phone (513) 752-8000

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

Organizations & group practices 7

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": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1891144648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N AVONDALE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094755",
            "telephone_number": "864-498-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 3600",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-224-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBERG",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL39463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.