RYAN M. BURKHOLDER MD
NPI 1073045597
Internal Medicine - Gastroenterology in Council Bluffs, IA
About Ryan M. Burkholder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN M. BURKHOLDER MD (NPI 1073045597) is an individual gastroenterology provider in Council Bluffs, Iowa, licensed in Iowa (MD-52177) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan M. Burkholder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
11Medicare enrollment records show Ryan Burkholder reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Council Bluffs, IA 51503
- Reassigned Medicare billing, Iowa enrollment
- 482 clinicians in this Medicare group
Fort Calhoun, NE 68023
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1265408819 (Nebraska)
- 69 clinicians in this Medicare group
Omaha, NE 68198
- Reassigned Medicare billing, Nebraska enrollment
- 2,154 clinicians in this Medicare group
Tabor, IA 51653
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1184621096 (Iowa)
- 91 clinicians in this Medicare group
Seward, NE 68434
- Reassigned Medicare billing, Nebraska enrollment
- 45 clinicians in this Medicare group
Falls City, NE 68355
- Reassigned Medicare billing, Nebraska enrollment
- 34 clinicians in this Medicare group
Geneva, NE 68361
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1689769382 (Nebraska)
- 54 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
Millersburg, OH 44654
- Reassigned Medicare billing, Ohio enrollment
- 103 clinicians in this Medicare group
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Mercy Council Bluffs
Acute Care Hospitals · Council Bluffs, IAShenandoah Medical Center
Critical Access Hospitals · Shenandoah, IAChi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEFillmore County Hospital
Critical Access Hospitals · Geneva, NEMemorial Health Care Systems
Critical Access Hospitals · Seward, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Burkholder's NPI number?
The NPI number for Ryan Burkholder is 1073045597. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Ryan Burkholder located?
Ryan Burkholder practices at 800 Mercy Dr, Council Bluffs, IA 51503. The listed phone number is (402) 717-9800.
What is Ryan Burkholder's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Ryan Burkholder enrolled in Medicare?
Yes. Ryan Burkholder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Burkholder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Burkholder reassigns Medicare benefits to 11 organizations: Alegent Creighton Clinic (Council Bluffs, IA), Memorial Community Hospital Corporation (Fort Calhoun, NE), Unmc Physicians (Omaha, NE), Shenandoah Medical Center (Tabor, IA), Memorial Health Care Systems (Seward, NE) and 6 more organizations, listed in the Medicare section above. Each 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 Burkholder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Burkholder accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Ryan Burkholder 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.
Is Ryan Burkholder affiliated with any hospitals?
According to CMS data, Ryan Burkholder is affiliated with Chi Health Mercy Council Bluffs, Shenandoah Medical Center, Chi Health Bergan Mercy, Fillmore County Hospital and Memorial Health Care Systems.
When was this NPI record last updated?
The NPPES record for Ryan Burkholder was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 M. Burkholder, MD · NPI 1073045597
Gastroenterology physician in Council Bluffs, Iowa. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1073045597 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD-52177 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 MERCY DR, Council Bluffs, IA 51503-3128
- **Phone:** (402) 717-9800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1598811069, Council Bluffs, IA); Memorial Community Hospital Corporation (NPI 1417015207, Fort Calhoun, NE); Unmc Physicians (NPI 1417912114, Omaha, NE); Shenandoah Medical Center (NPI 1508487547, Tabor, IA); Memorial Health Care Systems (NPI 1699845016, Seward, NE); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073045597) · Data from the CMS NPPES public registry.