Individual provider Active NPI

Ryan Luke Sturgill, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Carmel, IN
National Provider Identifier
1902339781
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
01087454A Issued in IN
Practice address
170 W 106TH St
Carmel, IN 46290-1004
Phone
(317) 575-0110
NPI assigned
Apr 7, 2017
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 01087454A IN Primary

Addresses

Primary practice location

170 W 106TH St
Carmel, IN 46290-1004

Mailing address

170 W 106TH St
Carmel, IN 46290-1004
Phone (317) 575-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230621001234 IN Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 4688947237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins Van Natta Plastic Surgery, P.C.Group PAC ID 6305812959, 4 clinicians

Practice addresses (Care Compare)

170 W 106TH St
Carmel, IN 46290-1004
Phone (317) 575-0330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Van Natta Plastic Surgery, P.C. CurrentSince Jul 1, 2023 Accepting new patients

Locations

170 W 106th St
Carmel, IN 46290
Phone (317) 575-0110

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1902339781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "RYAN",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "IN",
            "license": "01087454A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.