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KENNETH RYAN MD
NPI 1003843343
Emergency Medicine in Pocatello, ID

Active since June 26, 2006PECOS Enrolled
651 MEMORIAL DR, POCATELLO, ID 83201(208) 239-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Ryan Md NPPES

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

KENNETH RYAN MD (NPI 1003843343) is an individual emergency medicine provider in Pocatello, Idaho, licensed in Idaho (M7235) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003843343
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH RYANCredential: MD
Location Address651 MEMORIAL DRPocatello, ID 83201-4071
Mailing Address651 Memorial DrPocatello, ID 83201-4071 · (208) 239-1000
Phone(208) 239-1000
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003843343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M7235
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
651 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 1

Medicare UPING76555ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Ryan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORTNEUF MEDICAL CENTER
Home Health
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
JACOB DELAROSA MD
Internal Medicine (Cardiovascular Disease)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
POCATELLO HEALTH SERVICES, LLC
General Acute Care Hospital
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-2065
PHS MD #1, LLC
Clinic/Center (Primary Care)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-2110
RANDALL FOWLER MD
Emergency Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
ROBERTA LOUISE COLE CRT
Respiratory Therapist, Certified (General Care)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1372
PORTNEUF MEDICAL CENTER
General Acute Care Hospital
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-2110
DAVID PAUL BRIZZEE
Family Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Ryan's NPI number?

The NPI number for Kenneth Ryan is 1003843343. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Kenneth Ryan located?

Kenneth Ryan practices at 651 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 239-1000.

What is Kenneth Ryan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Ryan enrolled in Medicare?

Yes. Kenneth Ryan is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Ryan accept?

Health plans from Providence Health Plan list Kenneth Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Ryan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.