Active NPI
Michael J Ryan, M.D.
- Gastroenterology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101036589
- Practice address
- 885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800 - Phone
- (757) 466-0165
- Fax
- (757) 466-7296
- NPI assigned
- Dec 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101036589 | VA | Primary |
Addresses
Primary practice location
885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800
Mailing address
885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800
Phone (757) 466-0165
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659563799 | Other | VA | GROUP NPI |
| 541870984-008 | Other | VA | CIGNA |
| 8906542 | Medicaid | NC | |
| 4004834 | Other | VA | AETNA |
| 15124 | Other | VA | OPTIMA |
| 5807751 | Medicaid | VA | |
| 323627 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Johns Hopkins University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
885 Kempsville Rd
Suite 114
Norfolk, VA 23502-3800
Phone (757) 466-0165
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Sentara Virginia Beach General Hospital
- Sentara Princess Anne Hospital
- Sentara Obici Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 240 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101036589 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Digestive Care, LLC | Gastroenterology | Current | Accepting new patients |
| Gastrointestinal and Liver Specialists of Tidewater, PLLC | Current | Accepting new patients | |
| Capital Digestive Care ,LLC | Gastroenterology | Current | Accepting new patients |
| Capital Digestive Care ,LLC | Gastroenterology | Current | Accepting new patients |
Locations
113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285
885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Gastroenterology Physician
- Suffolk, VA
- NPI 1760541460
-
- Medical Physician Assistant
- Virginia Beach, VA
- NPI 1427438373
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1962488668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD",
"address_2": "SUITE 114",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-466-0165",
"fax_number": "757-466-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD",
"address_2": "SUITE 114",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-466-0165",
"fax_number": "757-466-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101036589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1659563799",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "541870984-008",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906542",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4004834",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15124",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5807751",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "323627",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.