Individual provider Active NPI

Gloria Mary Ryan, M.D.

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1962551101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79911 Issued in FL
Practice address
1900 27TH St
Vero Beach, FL 32960-3383
Phone
(772) 794-7461
Fax
(772) 794-7453
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79911 FL Primary

Addresses

Primary practice location

1900 27TH St
Vero Beach, FL 32960-3383

Mailing address

510 Sundance TRL
Vero Beach, FL 32963-3924
Phone (772) 492-0908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111111000065 FL Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Obstetrics/Gynecology 4880868736

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery, Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 27TH St
Vero Beach, FL 32960-3383

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Oct 25, 2001 Accepting new patients
Florida Department of Health CurrentSince Oct 25, 2001 Accepting new patients

Locations

4675 28th Ct
Vero Beach, FL 32967
Phone (772) 770-5151

1900 27th St
Vero Beach, FL 32960
Phone (772) 794-7400

Interoperability endpoints

  • Direct secure messaging: indianriverchd@fdohhms.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962551101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUNDANCE TRL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329633924",
            "telephone_number": "772-492-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 27TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603383",
            "telephone_number": "772-794-7461",
            "fax_number": "772-794-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "GLORIA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.