NPIMap

Individual provider Active NPI

Ryan W Davis, MD

  • Diagnostic Radiology Physician
  • Sarasota, FL
National Provider Identifier
1891734398
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0116692 Issued in FL
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone
(941) 917-9000
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

Owned or controlled facilities with NPI records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Island Public Hospital District 100 clinicians
Skagit Radiology Inc P S 39 clinicians
North Star Medical Imaging PLLC 30 clinicians
Fairbanks Medical Imaging LLC 28 clinicians
Skagit Digital Imaging LLC 29 clinicians
Bellingham Advanced Medical Imaging LLC 27 clinicians
Jefferson County Public Hospital District No 2 151 clinicians

Practice addresses (Care Compare)

101 N Main St
Coupeville, WA 98239-3413

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 678-5151

1320 E Division St
Mount Vernon, WA 98274-4133
Phone (360) 424-6161

1344 King St
Suite 101
Bellingham, WA 98229-6215
Phone (360) 424-6161

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161

2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 424-6161

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200707003181 FL Practitioner - Diagnostic Radiology 6800808973 Reassigns benefits to 7 organizations
I20240712001085 WA Practitioner - Diagnostic Radiology 6800808973 Reassigns benefits to 8 organizations
I20250507002964 AK Practitioner - Diagnostic Radiology 6800808973 Reassigns benefits to 5 organizations

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
Farmer'S Home HealthVentura, CA, CCN 053190 Home health agency 5% Or Greater Direct Ownership Interest (20%)
Corporate Officer (100%)
Corporate Director (100%)		 Dec 22, 2016
Dec 22, 2016
Dec 22, 2016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0116692FLMDDiagnostic Radiology Physician
MD61553121WAMDDiagnostic Radiology Physician

Practice roles (15 of 17)

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 14, 2024 Accepting new patients
Bellingham Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients
North Star Medical Imaging PLLC Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients
Whidbey Island Public Hospital District Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Sep 1, 2024 Accepting new patients
Skagit Radiology Inc P S Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients
Farmer'S Home Health CurrentSince Dec 22, 2016 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Whidbey Island Public Hospital District CurrentSince Sep 19, 2024 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Sep 19, 2024 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Sep 1, 2024 Accepting new patients
Whidbey Island Public Hospital District Diagnostic Radiology CurrentSince Sep 19, 2024 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jun 28, 2024 Accepting new patients
Fairbanks Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients
Community Imaging Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

2310 Peger Rd
Ste 102
Fairbanks, AK 99709

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607

125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A75710 CA
Diagnostic Radiology Physician 2085R0202X MD61553121 WA
Diagnostic Radiology Physician 2085R0202X ME0116692 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Mailing address

PO Box 16217
Irvine, CA 92623-6217
Phone (949) 263-8620

Other practice location 1

168 N Brent St
Suite 402
Ventura, CA 93003-2817
Phone (888) 234-0004

Other practice location 2

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00A757100OtherCABLUE SHIELD
00A757100MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1891734398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16217",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926236217",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 N Brent St",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032817",
            "country_code": "US",
            "telephone_number": "888-234-0004",
            "fax_number": "805-641-3965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-385-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RYAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A75710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61553121",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0116692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A757100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A757100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.