Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN DAVID MALLORY MD
NPI 1548674096
Internal Medicine - Interventional Cardiology in Muncie, IN

Q: What is Ryan Mallory's NPI number?

The NPI number for Ryan Mallory is 1548674096. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Q: What is Ryan Mallory's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Mallory was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment

2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303(765) 289-5420(765) 281-2040 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Sep 2, 2025, Jan 13, 2022 (3 updates tracked since 2022).

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About Ryan David Mallory Md NPPES

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

RYAN DAVID MALLORY MD (NPI 1548674096) is an individual interventional cardiology provider in Muncie, Indiana, licensed in Louisiana (349553) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1548674096

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameRYAN DAVID MALLORYCredential: MD

Location Address2525 W UNIVERSITY AVE STE 300Muncie, IN 47303-3432

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 289-5420

Fax(765) 281-2040

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2014

Enumeration DateJune 12, 2014

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1548674096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in LA · 349553✔ Licensed in KY · C1703✔ Licensed in IL · 036166970

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 01076590A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11017770A (IN)

2525 W UNIVERSITY AVE STE 300, Muncie, IN 47303

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Secondary Practice Location 1

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 944-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan.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 David Mallory Md 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 ID4183849912

PECOS Enrollment IDI20230713001350, I20231220003283, I20250724002653

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

204 services161 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

110 services110 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

32 services32 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

22 services22 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

19 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

18 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190040

Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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

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.

DR. KARIM SALEB MD

Internal Medicine (Cardiovascular Disease)