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DR. RYAN MICHAEL ANTAR MD
NPI 1124973995
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since February 26, 2026PECOS Enrolled
4940 EASTERN AVENUE, 301 BUILDING, ROOM 3112, BALTIMORE, MD 21224(410) 550-0338(410) 550-3341 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ryan Michael Antar Md NPPES

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

DR. RYAN MICHAEL ANTAR MD (NPI 1124973995) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124973995
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN MICHAEL ANTARCredential: MD
Location Address4940 EASTERN AVENUE, 301 BUILDING, ROOM 3112Baltimore, MD 21224
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 550-0338
Fax(410) 550-3341
Sole ProprietorNo
Enumeration DateFebruary 26, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1124973995 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.
4940 EASTERN AVENUE, Baltimore, MD 21224
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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)

Dr. Ryan Michael Antar 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.

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.

AGNES MWAKINGWE
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
LAURA SAUVE M.D.
Pediatrics
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 550-0967
DR. ODOLPHE AUGUSTIN DO, MPH
Internal Medicine
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (410) 550-3350
AMANDA MICHELLE REISZ LCSW-C
Social Worker (Clinical)
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM
BALTIMORE, MD 21224
Baltimore City (410) 550-2996
MRS. LAURA TENGELSEN CRIST RD LDN
Dietitian, Registered
4940 EASTERN AVENUE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
BALTIMORE, MD 21224
Baltimore City (410) 550-1549
DR. JOHN PAUL LEDET
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (504) 495-9410
DR. LAHARI RAMAGIRI MD
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (410) 550-3350
MARY METKUS MD
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (410) 550-3350

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 Antar's NPI number?

The NPI number for Ryan Antar is 1124973995. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Ryan Antar located?

Ryan Antar practices at 4940 Eastern Avenue 301 Building, Room 3112, Baltimore, MD 21224. The listed phone number is (410) 550-0338.

What is Ryan Antar'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 Antar enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Antar was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.