Michael Edwin Ryan, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0415401 Issued in KS

Practice address

8800 W 75TH St
Ste 100
Shawnee Mission, KS 66204-2205

Phone

(913) 632-9810

Fax

(913) 632-9828

NPI assigned

Jun 10, 2005

Reactivated

Mar 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/doct-48e85447

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.

• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  Medicare reassignment NPD
• Neurology Consultants, Chartered

  • Neurology Physician
  • Shawnee Mission, KS
  • NPI 1386653780
  NPD (past) Authorized official
• Doctors Hospital, LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1982608519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "STE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042205",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "STE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042205",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-12-19",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0415401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rousseau
• Heather Roy, DNP, APRN, FNP-BC
• Arvil Lonnie Rudd, DC
• Holly Jean Ruder, PHARM.D
• Mary J Ruff, CRNA
• Sherry L Ryan, MD
• Robert A Rymer, M.D.
• Ravindran Sabapathy, PSY. D
• Douglas A. Salerno, CRNA
• Susan Sanders, LSCSW

• Neurology Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Neurology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.