David Michael Ryan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001368 Issued in WA

Practice address

1410 N Pittsburg St
BLDG. a
Kennewick, WA 99336-8211

Phone

(509) 374-4166

Fax

(509) 374-4167

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Family Practice

Education

College of Osteo Med of the Pacific at Pomona, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
• Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Merit-based Incentive Payment System (MIPS)

Final score

83.73 of 100Reported as group

Quality

80.23

Promoting interoperability

82

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dryan@331.securemail.mdnavigatorclinical.com

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.

• David M Ryan, D.O.

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1619034980
  Medicare reassignment Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Endocrine Metabolism & Medicine Inc PS

  • Medical Specialty Clinic/Center
  • Kennewick, WA
  • NPI 1942329784
  NPD (past)

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

• Iron Bridge Healthcare, Inc.

  • Home Health Agency
  • Kennewick, WA
  • NPI 1699263079
  Care Compare affiliation
• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Tri-Cities Home Health, LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1679547244
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1912918129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURGH ST",
            "address_2": "BLDG. A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-374-4166",
            "fax_number": "509-374-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N PITTSBURG ST",
            "address_2": "BLDG. A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368211",
            "telephone_number": "509-374-4166",
            "fax_number": "509-374-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001368",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GAB29419",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall F Russell, DDS
• Rylee Russell, OTR/L
• Derrick William Kenneth Rutan
• Kelley Beth Rutherford, DPT
• Rxltc, PLLC
• Kacie Ryan
• Travis Rybarski
• Rylie Drury Counseling LLC
• S L Christensen O D & Assoc P C
• Itzi Erandi Sabanero Gallardo, MD

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.

Verify at the official NPI Registry.