RYAN GANDY MD
NPI 1386389203
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 04, 2022PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Gandy Md NPPES

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

RYAN GANDY MD (NPI 1386389203) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351050156) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386389203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN GANDYCredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address600 River Place Dr Apt 6620Detroit, MI 48207-5025 · (317) 903-7824
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateJune 5, 2022
NPPES CertifiedJune 5, 2022
NPI 1386389203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351050156
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Gandy Md 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.

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Gandy's NPI number?

The NPI number for Ryan Gandy is 1386389203. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Ryan Gandy located?

Ryan Gandy practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Ryan Gandy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Gandy enrolled in Medicare?

Yes. Ryan Gandy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Gandy was last updated on June 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.