Individual provider Active NPI

Ryan Barry Chapman, D.O.

  • Internal Medicine Physician
  • Titusville, FL
National Provider Identifier
1962814640
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS15414 Issued in FL
Practice address
1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone
(321) 269-4240
Fax
(321) 269-5428
NPI assigned
May 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 OS15414 FL Primary

Addresses

Primary practice location

1250 Grumman PL Ste B
Titusville, FL 32780-7927

Mailing address

1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone (321) 269-4240

Other identifiers 2

IdentifierTypeStateIssuer
100193600MedicaidFL
OB160OtherMEDICARE

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
I20190104002537 FL Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 5294071676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Pathways to Healthcare LLCGroup PAC ID 4880905280, 7 clinicians

Practice addresses (Care Compare)

1250 Grumman PL
Suite B
Titusville, FL 32780-7927
Phone (321) 269-4240

Hospital & facility affiliations

  • St. Francis Hospice Hospice, Titusville, FL, CCN 101534
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15414FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Pathways to Healthcare, LLC Hospice and Palliative Medicine CurrentSince Aug 16, 2021 Accepting new patients
Hospice of St. Francis, Inc. Hospice and Palliative Medicine Past Accepting new patients

Locations

1250 Grumman Pl
Ste B
Titusville, FL 32780
Phone (321) 269-4240

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1962814640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "RYAN",
        "middle_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS15414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OB160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.