THOMAS P RYAN DO
NPI 1275507055
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN
About Thomas P Ryan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS P RYAN DO (NPI 1275507055) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (02001220A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas P Ryan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 35 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
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 Thomas Ryan's NPI number?
The NPI number for Thomas Ryan is 1275507055. It was assigned to this individual provider in the NPPES registry on February 16, 2006.
Where is Thomas Ryan located?
Thomas Ryan practices at 2622 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 425-3100.
What is Thomas Ryan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Thomas Ryan enrolled in Medicare?
Yes. Thomas Ryan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Ryan reassigns Medicare benefits to St Joseph Medical Group Inc (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 Thomas Ryan'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 Thomas Ryan was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Thomas P Ryan, DO · NPI 1275507055
Cardiovascular Disease physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since February 16, 2006.
## Identity
- **NPI:** 1275507055 (Entity type: Individual)
- **Enumerated:** February 16, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 02001220A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2622 LAKE AVE, Fort Wayne, IN 46805-5410
- **Phone:** (260) 425-3100 · **Fax:** (260) 425-3604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Joseph Medical Group Inc (NPI 1811952070, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2015
- **Other identifiers:** Medicare UPIN E21659 (IN); Medicare PIN M400025050 (IN); Medicaid 100330950 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1275507055) · Data from the CMS NPPES public registry.