THOMAS P RYAN DO
NPI 1275507055
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Q: 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.

Q: What is Thomas Ryan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ryan was last updated on March 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 16, 2006PECOS Enrolled

2622 LAKE AVE, FORT WAYNE, IN 46805(260) 425-3100(260) 425-3604 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1275507055

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTHOMAS P RYANCredential: DO

Location Address2622 LAKE AVEFort Wayne, IN 46805-5410

Mailing Address2622 Lake AveFort Wayne, IN 46805-5410 · (260) 425-3100 · Fax (260) 425-3604

Phone(260) 425-3100

Fax(260) 425-3604

Sole ProprietorNo

Enumeration DateFebruary 16, 2006

Last NPPES UpdateMarch 13, 2015

✔ NPI 1275507055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 02001220A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2622 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 3

Medicare UPINE21659IN

Medicare PINM400025050IN

Medicaid100330950IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas P Ryan Do 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.

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.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.