RYAN FREDERICK DOUGLASS COMMUNITY HEALTH CENTER
NPI 1013360528
Clinic/Center - Federally Qualified Health Center (FQHC) in New York, NY
About Ryan Frederick Douglass Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN FREDERICK DOUGLASS COMMUNITY HEALTH CENTER (NPI 1013360528) is a healthcare organization registered as a federally qualified health center (fqhc) in New York, New York and active in the NPI registry since July 2016. The organization lists Jose Virella, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryan Frederick Douglass Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
186Medicare enrollment records show 186 clinicians reassign Medicare billing to Ryan Frederick Douglass Community Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 146 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 186Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 William F Ryan Community Health Center Inc's NPI number?
The NPI number for William F Ryan Community Health Center Inc is 1013360528. It was assigned to this organization in the NPPES registry on July 20, 2016. The provider is doing business as Ryan Frederick Douglass Community Health Center.
Where is William F Ryan Community Health Center Inc located?
William F Ryan Community Health Center Inc is located at 2381 Frederick Douglass Blvd, New York, NY 10027. The listed phone number is (212) 749-1820.
What is William F Ryan Community Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is William F Ryan Community Health Center Inc enrolled in Medicare?
Yes. William F Ryan Community Health Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William F Ryan Community Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 186 clinicians in 23 Medicare specialties reassign their Medicare billing to William F Ryan Community Health Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (38), Nurse Practitioner (33) and Clinical Social Worker (22). Of these, 1 practice at this address and 146 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William F Ryan Community Health Center Inc was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ryan Frederick Douglass Community Health Center · NPI 1013360528
Federally Qualified Health Center (FQHC) organization in New York, New York. Organization record, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1013360528 (Entity type: Organization)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** William F Ryan Community Health Center Inc
- **Organization subpart:** Yes (part of William F Ryan Community Health Center Inc)
- **Authorized official:** Jose Virella, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 2381 FREDERICK DOUGLASS BLVD, New York, NY 10027-1822
- **Phone:** (212) 749-1820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 186 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (38), Nurse Practitioner (33), Clinical Social Worker (22); 1 practice at this address and 146 within 10 miles; [full list](https://npiprofile.com/npi/1013360528/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
- **Other identifiers:** Medicaid 04633116 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1013360528) · Data from the CMS NPPES public registry.