RYAN FAMILY PRACTICE
NPI 1336557271
Clinic/Center in Ludington, MI

Active since July 23, 2014CLIA 23D2069455 · Waiver
300 S RATH AVE, SUITE 202, LUDINGTON, MI 49431(231) 425-4447(231) 425-4401 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ryan Family Practice NPPES

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

RYAN FAMILY PRACTICE (NPI 1336557271) is a healthcare organization registered as a clinic/center in Ludington, Michigan and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists James T Ryan, Physican, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1336557271
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJAMES T RYAN D O PLLC
Location Address300 S RATH AVE, SUITE 202Ludington, MI 49431-3003
Mailing Address300 S Rath Ave, Suite 202Ludington, MI 49431-3003 · (231) 425-4447 · Fax (231) 425-4401
Fax(231) 425-4401
Organization SubpartNo
Authorized OfficialJames T RyanPhysican, Sole Mbr · (231) 425-4447
Enumeration DateJuly 23, 2014
✔ NPI 1336557271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MI · 510106838
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
300 S RATH AVE, Ludington, MI 49431

Other Names 1

Doing Business AsRyan Family Practice

Other Identifiers 1

OtherM19520029MI · Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20140826001226Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ryan Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1437271996
300 S RATH AVE SUITE 202
Ludington, MI 49431
(231) 425-4447
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 23D2069455

James T Ryan Do, PLLC · Ludington, MI
Active · expires Nov 24, 2027
CLIA Number23D2069455
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorJames T. Ryan
Laboratory Phone(231) 425-4447
Laboratory LocationJames T Ryan Do, PLLC300 S Rath, Ste 202, Ludington, MI 49431
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 James T Ryan D O PLLC's NPI number?

The NPI number for James T Ryan D O PLLC is 1336557271. It was assigned to this organization in the NPPES registry on July 23, 2014. The provider is doing business as Ryan Family Practice.

Where is James T Ryan D O PLLC located?

James T Ryan D O PLLC is located at 300 S Rath Ave Suite 202, Ludington, MI 49431. The listed phone number is (231) 425-4447.

What is James T Ryan D O PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is James T Ryan D O PLLC enrolled in Medicare?

Yes. James T Ryan D O PLLC is registered in the Medicare PECOS enrollment system.

When is James T Ryan D O PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through James T Ryan D O PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to James T Ryan D O PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does James T Ryan D O PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2069455) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does James T Ryan D O PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list James T Ryan D O PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James T Ryan D O PLLC was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.