DR. RYAN ALEXANDER SMITH M.D.
NPI 1104317262
Physical Medicine & Rehabilitation in Santa Rosa, CA

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment
3975 OLD REDWOOD HWY STE 152, SANTA ROSA, CA 95403(310) 478-3711 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2019, May 24, 2018 (2 updates tracked since 2018).

About Dr. Ryan Alexander Smith M.d. NPPES

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

DR. RYAN ALEXANDER SMITH M.D. (NPI 1104317262) is an individual physical medicine & rehabilitation provider in Santa Rosa, California, licensed in California (A165869) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1104317262
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. RYAN ALEXANDER SMITHCredential: M.D.
Location Address3975 OLD REDWOOD HWY STE 152Santa Rosa, CA 95403-1719
Mailing Address3975 Old Redwood Hwy Ste 152Santa Rosa, CA 95403-1719 · (310) 478-3711
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018
Enumeration DateMay 24, 2018
Last NPPES UpdateMarch 31, 20242 updates tracked since enumeration
NPPES CertifiedMarch 31, 2024
NPI 1104317262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · A165869
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedSurgeryTaxonomy 208600000X · License R76953 (AZ)
3975 OLD REDWOOD HWY STE 152, Santa Rosa, CA 95403

Secondary Practice Locations 2

Location 111301 Wilshire Blvd Ofc VaLos Angeles, CA 90073-1003 · Phone (310) 478-3711
Location 21501 N Campbell Ave Rm 4334Tucson, AZ 85724-0001 · Phone (520) 626-7747 · Fax (520) 626-2247

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Alexander Smith M.d. 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.

PECOS PAC ID7911308937
PECOS Enrollment IDI20231206000685
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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403
Physical Therapist
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403
Physical Therapist
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403
Physical Medicine & Rehabilitation
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403
Internal Medicine (Gastroenterology)
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403
Physical Therapist
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 95403

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 Smith's NPI number?

The NPI number for Ryan Smith is 1104317262. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Ryan Smith located?

Ryan Smith practices at 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403. The listed phone number is (310) 478-3711.

What is Ryan Smith's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Ryan Smith enrolled in Medicare?

Yes. Ryan Smith 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.

When was this NPI record last updated?

The NPPES record for Ryan Smith was last updated on March 31, 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.