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RYAN SHOLES MD
NPI 1023804226
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 16, 2025PECOS Enrolled
111 S 11TH ST # 8280, PHILADELPHIA, PA 19107(215) 955-6161 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Sholes Md NPPES

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

RYAN SHOLES MD (NPI 1023804226) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023804226
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN SHOLESCredential: MD
Location Address111 S 11TH ST # 8280Philadelphia, PA 19107-4870
Mailing Address265 S 9th St Apt 3fPhiladelphia, PA 19107-5710 · (484) 886-5849
Phone(215) 955-6161
Sole ProprietorYes
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1023804226 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.

111 S 11TH ST # 8280, Philadelphia, PA 19107
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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)

Ryan Sholes 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.

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 Ryan Sholes's NPI number?

The NPI number for Ryan Sholes is 1023804226. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Ryan Sholes located?

Ryan Sholes practices at 111 S 11th St # 8280, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.

What is Ryan Sholes's specialty?

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

Is Ryan Sholes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Sholes was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.