Individual provider Active NPI

Ryan D Kuefler, M.D.

  • Obstetrics & Gynecology Physician
  • Green Bay, WI
National Provider Identifier
1902210925
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
74244 Issued in WI
Practice address
720 S Vanburen St
Green Bay, WI 54301-3504
Phone
(920) 468-3444
Fax
(920) 432-6313
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301105231 MI
Obstetrics & Gynecology Physician 207V00000X 74244 WI Primary

Addresses

Primary practice location

720 S Vanburen St
Green Bay, WI 54301-3504

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

2641 Development Dr
Green Bay, WI 54311-4240
Phone (920) 338-6868

Other practice location 2

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Other practice location 3

245 Cherry St SE Ste 306
Grand Rapids, MI 49503-4607
Phone (616) 685-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 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
I20180710000968 MI Practitioner - Obstetrics/Gynecology 1456577519 Reassigns benefits to 1 organization
I20201031000010 WI Practitioner - Obstetrics/Gynecology 1456577519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

720 S Van Buren St
Suite 201
Green Bay, WI 54301-3534
Phone (920) 433-7488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105231MIMDObstetrics & Gynecology Physician
74244WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc CurrentSince Jun 17, 2022 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jul 2, 2018 Accepting new patients
Bellin Memorial Hospital Inc Obstetrics & Gynecology CurrentSince Oct 15, 2020 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Jul 2, 2018 Accepting new patients
Oconto Hospital & Medical Center Inc Obstetrics & Gynecology CurrentSince Jun 17, 2022 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 15, 2020 Accepting new patients
Bellin Psychiatric Center Inc. PastSince Oct 19, 2020 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

245 Cherry St SE
Ste 306
Grand Rapids, MI 49503
Phone (616) 685-8750

2641 Development Dr
Green Bay, WI 54311

720 S Van Buren St
Ste 201
Green Bay, WI 54301
Phone 9204307100200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: rkuefler37109@direct.trinity-health.org
  • Direct secure messaging: rkuefler916453@direct.emplifyhealth.org

Organizations & group practices 9

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.

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1902210925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S VANBUREN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013504",
            "telephone_number": "920-468-3444",
            "fax_number": "920-432-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2641 Development Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543114240",
            "country_code": "US",
            "telephone_number": "920-338-6868",
            "fax_number": "920-338-6869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-433-3500",
            "fax_number": "920-433-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Cherry St SE Ste 306",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034607",
            "country_code": "US",
            "telephone_number": "616-685-8750",
            "fax_number": "616-685-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEFLER",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301105231",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "74244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.