Active NPI
Alexander Ryan, MD
- Diagnostic Radiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200002434 | Medicaid | MO | |
| 036131849 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME176276 | FL | MD | Diagnostic Radiology Physician |
| 036-131849 | IL | MD | Diagnostic Radiology Physician |
| 22883 | ND | MD | Diagnostic Radiology Physician |
| MT190595 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Crawford Hospital District | Family Medicine | Current | Accepting new patients |
| Peterson Medical Associates | Family Medicine | Current | Accepting new patients |
| Prime Healthcare Services-Gadsden Physician Management LLC | Family Medicine | Current | Accepting new patients |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | 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
- 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.
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Family Medicine
-
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1063469252
IN, MO, WA
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1356731467
-
- Chiropractor
- Glen Carbon, IL
- NPI 1184136020
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.