RYAN ALAN MCMAHON
NPI 1386916252
Physician Assistant - Surgical in Fort Sam Houston, TX

Active since February 07, 2012PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 539-9582 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Aug 12, 2022, Jul 16, 2021 (3 updates tracked since 2021).

About Ryan Alan Mcmahon NPPES

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

RYAN ALAN MCMAHON (NPI 1386916252) is an individual surgical provider in Fort Sam Houston, Texas and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1386916252
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRYAN ALAN MCMAHON
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 539-9582
Sole ProprietorNo
Enumeration DateFebruary 7, 2012
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1386916252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Location 1

Location 11100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 539-9582

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 Alan Mcmahon 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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Mcmahon's NPI number?

The NPI number for Ryan Mcmahon is 1386916252. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Ryan Mcmahon located?

Ryan Mcmahon practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.

What is Ryan Mcmahon's specialty?

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

Is Ryan Mcmahon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Mcmahon was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.