Individual provider Active NPI

Alexander Ryan, MD

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1912232422
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22883 Issued in ND
Practice address
3050 Montvale Dr Ste a
Springfield, IL 62704-6924
Phone
(217) 726-8096
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2013005692 MO
Diagnostic Radiology Physician 2085R0202X 0153 GA
Diagnostic Radiology Physician 2085R0202X 036-131849 IL
Diagnostic Radiology Physician 2085R0202X 22883 ND Primary
Diagnostic Radiology Physician 2085R0202X ME176276 FL
Diagnostic Radiology Physician 2085R0202X W0844 TX
Diagnostic Radiology Physician 2085R0202X MT190595 PA
Diagnostic Radiology Physician 2085R0202X 51931 AL

Addresses

Primary practice location

3050 Montvale Dr Ste a
Springfield, IL 62704-6924

Mailing address

2040 W Iles Ave Ste C
Springfield, IL 62704-4183
Phone (217) 789-0668

Other practice location 1

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690

Other practice location 2

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Other practice location 3

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9229

Other practice location 4

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Other practice location 5

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690

Other identifiers 2

IdentifierTypeStateIssuer
200002434MedicaidMO
036131849MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryana@clinicalradiologist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, IN, WA, AZ, TX, AL, FL, ND9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20130227000091 IL Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20131023002074 MO Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20170330000961 IN Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20210825000977 WA Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 3 organizations
I20251005000131 AZ Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20251022004580 TX Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20251107004248 AL Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20251113002869 FL Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization
I20260218001898 ND Practitioner - Diagnostic Radiology 9032374277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Sanford ClinicGroup PAC ID 4385882976, 57 clinicians
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

Seattle, WA 98107
Phone (888) 264-0330

Ridgefield, WA 98642
Phone (469) 677-7430

1 Memorial Dr
Alton, IL 62002-6722
Phone (217) 726-8096

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

1185 N 1000
Greene County General Hospital
Linton, IN 47441-5282
Phone (812) 847-5212

1404 Cross St
Shiloh, IL 62269-2988
Phone (217) 726-8096

300 Health Way Dr
Potosi, MO 63664-1420
Phone (573) 438-5451

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (217) 726-8096

5621 22ND Ave NW
Apt 520
Seattle, WA 98107-3473
Phone (217) 726-8096

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

705 S Grand St
Nashville, IL 62263-1534
Phone (217) 726-8096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176276FLMDDiagnostic Radiology Physician
036-131849ILMDDiagnostic Radiology Physician
22883NDMDDiagnostic Radiology Physician
MT190595PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Graham Regional Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Crawford Hospital District Family Medicine Current Accepting new patients
Peterson Medical Associates Family Medicine CurrentSince Oct 8, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC Family Medicine CurrentSince Sep 4, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Nov 4, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Jan 4, 2026 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Elite Chiropractic Center LLC Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

4820 23rd Ave S
Fargo, ND 58104

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 6

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1912232422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W ILES AVE STE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044183",
            "telephone_number": "217-789-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MONTVALE DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046924",
            "telephone_number": "217-726-8096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173818",
            "country_code": "US",
            "telephone_number": "770-812-9229",
            "fax_number": "770-812-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2013005692",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "0153",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-131849",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "22883",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME176276",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "W0844",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT190595",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "51931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002434",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131849",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryana@clinicalradiologist.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 Montvale Dr Ste A",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627046924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.