RYAN BOBER M.D.
NPI 1629430483
Internal Medicine in New York, NY

Active since March 22, 2016Opted out of Medicare · through Mar 17, 2027
36 EAST 57TH STREET, NEW YORK, NY 10022(212) 600-2000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Sep 1, 2023, Mar 17, 2020 and 1 more (4 updates tracked since 2016).

About Ryan Bober M.d. NPPES

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

RYAN BOBER M.D. (NPI 1629430483) is an individual internal medicine provider in New York, New York, licensed in California (A185074) and active in the NPI registry since March 2016. He has opted out of Medicare through March 17, 2027 and remains eligible to order and refer and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1629430483
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRYAN BOBERCredential: M.D.
Location Address36 EAST 57TH STREETNew York, NY 10022
Mailing Address36 East 57th StreetNew York, NY 10022 · (609) 202-0438
Sole ProprietorYes
Enumeration DateMarch 22, 2016
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1629430483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A185074 Licensed in NY · 295895
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
36 EAST 57TH STREET, New York, NY 10022

Secondary Practice Location 1

Location 112 W 72nd StNew York, NY 10023-4163 · Phone (646) 962-7800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ryan Bober M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025
Opt-Out In Effect ThroughMarch 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
36 EAST 57TH STREET
NY, NY 10022
Pediatrics
36 EAST 57TH STREET
NY, NY 10022
Nurse Practitioner (Family)
36 EAST 57TH STREET, 5TH FLOOR
NEW YORK, NY 10022
Physician Assistant
36 EAST 57TH STREET
NEW YORK, NY 10022
Psychiatry & Neurology (Neurology)
36 EAST 57TH STREET
NEW YORK, NY 10022
Nurse Practitioner (Family)
36 EAST 57TH STREET
NEW YORK, NY 10022
Nurse Practitioner (Family)
36 EAST 57TH STREET
NEW YORK, NY 10022
Internal Medicine (Pulmonary Disease)
36 EAST 57TH STREET, 5TH FLOOR
NEW YORK, NY 10022

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 Bober's NPI number?

The NPI number for Ryan Bober is 1629430483. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Ryan Bober located?

Ryan Bober practices at 36 East 57th Street, New York, NY 10022. The listed phone number is (212) 600-2000.

What is Ryan Bober's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Bober enrolled in Medicare?

No. Ryan Bober has opted out of Medicare through March 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ryan Bober was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.