NPIMap

Individual provider Active NPI

Ryan Sydnor, MD

  • Vascular & Interventional Radiology Physician
  • Wauwatosa, WI
National Provider Identifier
1982868063
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0060778 Issued in CO
Practice address
4025 N 92ND St
Wauwatosa, WI 53222-1613
Phone
(216) 210-5521
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0060778 CO
Vascular & Interventional Radiology Physician 2085R0204X 62229 - 20 WI
Vascular & Interventional Radiology Physician 2085R0204X DR.0060778 CO Primary

Addresses

Primary practice location

4025 N 92ND St
Wauwatosa, WI 53222-1613

Mailing address

2036 N Prospect Ave
Apt. 2005
Milwaukee, WI 53202-1260
Phone (216) 210-5521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180913003237 CO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002030749 Reassigns benefits to 2 organizations
I20201014002001 KS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002030749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians
Colorado Advanced Endovascular, LLCGroup PAC ID 7416485008, 13 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (303) 433-9729

355 Union Blvd
Suite 100
Lakewood, CO 80228-1500
Phone (720) 669-3036

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2276

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Longmont United Hospital Hospital, Longmont, CO, CCN 060003
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118
  • Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0060778COMDDiagnostic Radiology Physician
62229 - 20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Colorado Advanced Endovascular, LLC Vascular & Interventional Radiology CurrentSince Sep 24, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Pahs Onpoint Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

9205 S Broadway
Ste 101
Highlands Ranch, CO 80129
Phone (720) 603-4353

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

1819 Denver West Dr
Ste 101
Lakewood, CO 80401
Phone (303) 854-9888

355 Union Blvd
Ste 100
Lakewood, CO 80228
Phone (720) 669-3036

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1982868063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 N PROSPECT AVE",
            "address_2": "APT. 2005",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021260",
            "telephone_number": "216-210-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221613",
            "telephone_number": "216-210-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDNOR",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0060778",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "62229 - 20",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0060778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.