Individual provider Active NPI

Michael Joseph Ryan, DPM

  • Primary Podiatric Medicine Podiatrist
  • Charlotte, NC
National Provider Identifier
1972549186
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
284 Issued in NC
Practice address
8310 Medical Plaza Dr
Charlotte, NC 28262-6701
Phone
(704) 548-0222
Fax
(704) 548-1157
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 284 NC Primary

Addresses

Primary practice location

8310 Medical Plaza Dr
Charlotte, NC 28262-6701

Mailing address

8310 Medical Plaza Dr
Charlotte, NC 28262-6701
Phone (704) 548-0222

Other identifiers 1

IdentifierTypeStateIssuer
890807FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001697 NC Practitioner - Podiatry 3870541923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

236 Lephillip Court
Suite a
Concord, NC 28025-1917
Phone (419) 221-6717

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

8310 Medical Plaza Dr
Suite E
Charlotte, NC 28262-6703
Phone (704) 548-0222

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions50
Removal of nail tissue598
Removal or shaving of skin growth209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
284NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jul 1, 2020 Accepting new patients
Michael J. Ryan, DPM, PA Past Accepting new patients
Michael J. Ryan,DPM,PA Past Accepting new patients

Locations

8310 Medical Plaza Dr
Ste E
Charlotte, NC 28262
Phone (704) 548-0222

6831 Fairview Rd
Ste A
Charlotte, NC 28210
Phone (704) 364-2151

10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253

9216 Ardrey Kell Rd
Ste 100
Charlotte, NC 28277
Phone (704) 455-6517

8310 Medical Plaza Dr
Charlotte, NC 28262
Phone (704) 510-1300

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

492 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 788-9797

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

3800 NC Highway 49 S
Harrisburg, NC 28075

206 Joe Knox Ave
Ste D
Mooresville, NC 28117
Phone (704) 235-0474

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1972549186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 MEDICAL PLAZA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626701",
            "telephone_number": "704-548-0222",
            "fax_number": "704-548-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 MEDICAL PLAZA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626701",
            "telephone_number": "704-548-0222",
            "fax_number": "704-548-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890807F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.