Individual provider Active NPI

Daniel Y Ryu, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Cleveland, OH
National Provider Identifier
1972593309
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
35-067499 Issued in OH
Practice address
2322 E 22ND St
SVCH Occupational Medicine
Cleveland, OH 44115-3176
Phone
(216) 363-2691
Fax
(216) 694-4665
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 35-067499 OH Primary

Addresses

Primary practice location

2322 E 22ND St
SVCH Occupational Medicine
Cleveland, OH 44115-3176

Mailing address

6935 Treeline Dr
Ste J
Brecksville, OH 44141-3393
Phone (440) 746-2220

Other identifiers 1

IdentifierTypeStateIssuer
2546187MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050218000085 OH Practitioner - General Practice 8426000332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Treatment CenterGroup PAC ID 9133486285, 4 clinicians

Practice addresses (Care Compare)

3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 554-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-067499OHMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Treatment Center Current Accepting new patients
Alliant Treatment Center CurrentSince Mar 1, 2018 Accepting new patients
Bes of Ohio, LLC, Dba Medgroup Past Accepting new patients
Bes of Ohio, LLC Past Accepting new patients

Locations

17608 Euclid Ave
Cleveland, OH 44112
Phone (216) 417-6166

3535 Lee Rd
Shaker Hts, OH 44120
Phone (216) 417-6166

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1972593309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 TREELINE DR",
            "address_2": "STE J",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413393",
            "telephone_number": "440-746-2220",
            "fax_number": "440-746-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SVCH OCCUPATIONAL MEDICINE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-363-2691",
            "fax_number": "216-694-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "DANIEL",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OH",
            "license": "35-067499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2546187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.