RYAN O'KELLY PA-C
NPI 1356900591
Physician Assistant - Surgical in Warwick, RI

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 273-1122 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Oct 13, 2021, Jul 24, 2019 and 1 more (4 updates tracked since 2019).

About Ryan O'kelly Pa-c NPPES

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

RYAN O'KELLY PA-C (NPI 1356900591) is an individual surgical provider in Warwick, Rhode Island, licensed in Rhode Island (PA01154) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356900591
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRYAN O'KELLYCredential: PA-C
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address200 Crossings Blvd Ste 310Warwick, RI 02886-2872 · (401) 777-7000 · Fax (401) 459-4010
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2019
Last NPPES UpdateFebruary 17, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
NPI 1356900591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in RI · PA01154
455 TOLL GATE RD, Warwick, RI 02886

Secondary Practice Locations 2

Location 177 Service RdWest Warwick, RI 02893-7714 · Phone (401) 500-2509
Location 2285 Promenade StProvidence, RI 02908 · Phone (401) 777-7000 · Fax (401) 459-4010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan O'kelly Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981934957
PECOS Enrollment IDI20251110002027
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

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.

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886

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 O'kelly's NPI number?

The NPI number for Ryan O'kelly is 1356900591. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Ryan O'kelly located?

Ryan O'kelly practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 273-1122.

What is Ryan O'kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ryan O'kelly enrolled in Medicare?

Yes. Ryan O'kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan O'kelly accept?

Health plans from Anthem Blue Cross and Blue Shield list Ryan O'kelly 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.

Is Ryan O'kelly affiliated with any hospitals?

According to CMS data, Ryan O'kelly is affiliated with Southcoast Hospitals Group and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan O'kelly was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.