NPIMap

Individual provider Active NPI

Ryan Trevor Patterson, DCNP

  • Dermatology Physician
  • Terre Haute, IN
National Provider Identifier
1972669455
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
71001628A Issued in IN
Practice address
1600 E Springhill Dr
Terre Haute, IN 47802-4363
Phone
(812) 994-1404
Fax
(812) 742-9420
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP4948 AZ
Dermatology Physician 207N00000X AZ4948 AZ
Nurse Practitioner 363L00000X 71001628A IN
Dermatology Physician 207N00000X 71001628A IN Primary

Addresses

Primary practice location

1600 E Springhill Dr
Terre Haute, IN 47802-4363

Mailing address

PO Box 3445
Indianapolis, IN 46206-3445
Phone (812) 994-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000532 IN Practitioner - Nurse Practitioner 5698948941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biltmore Dermatology LLCGroup PAC ID 0143593145, 4 clinicians

Practice addresses (Care Compare)

76 W Springhill Dr
Terre Haute, IN 47802-8767
Phone (812) 995-1404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AZ4948AZMDDermatology Physician
AP4948AZMDNurse Practitioner
71001628AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Dermatology Lounge LLC Nurse Practitioner CurrentSince Oct 26, 2020 Accepting new patients
Biltmore Dermatology LLC Dermatology CurrentSince Aug 7, 2017 Accepting new patients
West Side Family Medicine LLC Past Accepting new patients
Omni Dermatology Incorporated Dermatology Past Accepting new patients
Bill H. Halmi MD, PC PastSince Oct 15, 2016 Accepting new patients

Locations

1202 E Canvasback Dr
Terre Haute, IN 47802
Phone (812) 299-3376

76 W Springhill Dr
Terre Haute, IN 47802
Phone (812) 299-2020

1600 E Springhill Dr
Terre Haute, IN 47802
Phone (812) 235-7252

1813 Willow St
Ste 3B
Vincennes, IN 47591
Phone 81247772461017

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rpatterson@biltmoredermatology.emadirect.md

Organizations & group practices 5

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 10

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1972669455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063445",
            "telephone_number": "812-994-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024363",
            "telephone_number": "812-994-1404",
            "fax_number": "812-742-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "RYAN",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "DCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4948",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "AZ4948",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001628A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "71001628A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.