DR. RYAN GLENN HARTIG M.D.
NPI 1053747741
General Practice in Fort Wayne, IN

Active since September 25, 2013PECOS Enrolled
4666 W JEFFERSON BLVD STE 170, FORT WAYNE, IN 46804(260) 207-4137 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryan Glenn Hartig M.d. NPPES

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

DR. RYAN GLENN HARTIG M.D. (NPI 1053747741) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (01076905A) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053747741
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RYAN GLENN HARTIGCredential: M.D.
Location Address4666 W JEFFERSON BLVD STE 170Fort Wayne, IN 46804-6893
Mailing Address4666 W Jefferson Blvd Ste 170Fort Wayne, IN 46804-6893
Sole ProprietorNo
Enumeration DateSeptember 25, 2013
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1053747741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01076905A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4666 W JEFFERSON BLVD STE 170, Fort Wayne, IN 46804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Glenn Hartig M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Hartig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
5010 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
214 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services121 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
186 services111 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
185 services112 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
111 services88 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
110 services71 patients

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 Hartig's NPI number?

The NPI number for Ryan Hartig is 1053747741. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Ryan Hartig located?

Ryan Hartig practices at 4666 W Jefferson Blvd Ste 170, Fort Wayne, IN 46804. The listed phone number is (260) 207-4137.

What is Ryan Hartig's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ryan Hartig enrolled in Medicare?

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

Which organization bills Medicare for Ryan Hartig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Hartig reassigns Medicare benefits to Fort Wayne Endocrinology PC (Fort Wayne, IN). The 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 Ryan Hartig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Hartig was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.