DR. CLODAGH THERESE RYAN MD
NPI 1205042975
Family Medicine in La Grange, IL
About Dr. Clodagh Therese Ryan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLODAGH THERESE RYAN MD (NPI 1205042975) is an individual family medicine provider in La Grange, Illinois, licensed in Illinois (036120989) and active in the NPI registry since May 2007. She has opted out of Medicare through June 12, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through April 17, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Clodagh Therese Ryan Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2017 through June 12, 2027.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0998546
Clodagh T Ryan M D · La Grange, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Clodagh Ryan's NPI number?
The NPI number for Clodagh Ryan is 1205042975. It was assigned to this individual provider in the NPPES registry on May 16, 2007.
Where is Clodagh Ryan located?
Clodagh Ryan practices at 1400 W 47th St Ste 1, La Grange, IL 60525. The listed phone number is (708) 571-2272.
What is Clodagh Ryan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clodagh Ryan enrolled in Medicare?
No. Clodagh Ryan has opted out of Medicare through June 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
Does Clodagh Ryan hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0998546) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Clodagh Ryan was last updated on February 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
