NPIMap

Individual provider Active NPI

Ryan D Arnevik, DO

  • Family Medicine Physician
  • Centerville, IA
National Provider Identifier
1972867810
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4305 Issued in IA
Practice address
19942 Saint Joseph Dr
Centerville, IA 52544-8849
Phone
(641) 856-8684
Fax
(641) 856-3009
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4305 IA Primary

Addresses

Primary practice location

19942 Saint Joseph Dr
Centerville, IA 52544-8849

Mailing address

19942 Saint Joseph Drive
Centerville, IA 52544-8849
Phone (641) 856-8684

Other identifiers 1

IdentifierTypeStateIssuer
1972867810MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121208000021 IA Practitioner - Family Practice 8820240336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, 37 clinicians
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

19942 Saint Joseph Dr
Centerville, IA 52544-8849
Phone (641) 856-8684

417 S E St
Corydon, IA 50060-1860

Hospital & facility affiliations

  • Elara Caring Home health agency, Centerville, IA, CCN 167423
  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Wayne County Hospital Hospital, Corydon, IA, CCN 161358
  • Mercyone Centerville Medical Center Hospital, Centerville, IA, CCN 161377
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital Family Medicine CurrentSince Dec 27, 2025 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Mercy Medical Center-Centerville Family Medicine CurrentSince Feb 16, 2015 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Feb 16, 2015 Accepting new patients
Wayne County Hospital CurrentSince Dec 27, 2025 Accepting new patients

Locations

19876 Saint Joseph Dr
Centerville, IA 52544
Phone (515) 856-8684

19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

515 W Wall St
Seymour, IA 52590
Phone (641) 898-2898

Interoperability endpoints

  • Direct secure messaging: rarnevik3939104@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercyone Centerville Medical CenterCenterville, IA, CCN 161377 Hospital Corporate Director Jul 24, 2020
Mercyone Centerville Medical CenterCenterville, IA, CCN 16Z377 Hospital Corporate Director Jul 24, 2020
Mercyone Centerville Medical ClinicCenterville, IA, CCN 168533 Rural health clinic Corporate Director Jul 24, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 8

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1972867810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DRIVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNEVIK",
        "first_name": "RYAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972867810",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.