DR. RYAN CARLSON MD PHD
NPI 1003618158
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Ryan Carlson's NPI number?

The NPI number for Ryan Carlson is 1003618158. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Ryan Carlson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Carlson was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2025PECOS Enrolled

243 CHARLES ST, BOSTON, MA 02114(617) 523-7900 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ryan Carlson Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN CARLSON MD PHD (NPI 1003618158) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003618158

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. RYAN CARLSONCredential: MD PHD

Location Address243 CHARLES STBoston, MA 02114-3002

Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 523-7900

Phone(617) 523-7900

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1003618158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

243 CHARLES ST, Boston, MA 02114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Carlson Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.