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RYAN WADE PFENNING MD, MBA
NPI 1649064700
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 05, 2025PECOS Enrolled
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Wade Pfenning Md, Mba NPPES

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

RYAN WADE PFENNING MD, MBA (NPI 1649064700) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (3019097) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649064700
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN WADE PFENNINGCredential: MD, MBA
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address254 Hurley StCambridge, MA 02141-2120 · (661) 964-9507
Phone(617) 636-5000
Sole ProprietorNo
Enumeration DateApril 5, 2025
NPPES CertifiedApril 5, 2025
✔ NPI 1649064700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3019097
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.
800 WASHINGTON ST, Boston, MA 02111
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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 Wade Pfenning Md, Mba 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.

AARON DICKSTEIN M.D.
Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Suffolk County (617) 636-5883
THOMAS E BIGELOW
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Suffolk County (617) 636-5857
SARAH MERRIMAN PERSING M.D.
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. SHARANYA MOHANTY M.D.
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
AFRAH SADIQ SAIT MOHAMMED M.D.
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (718) 629-7204
ADNAN SALIM QAMAR MD
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5829
ALICIA SIGIA WU MD
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-1619
ZEANAARONEVAN ANDRES LUNA
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-8100

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 Pfenning's NPI number?

The NPI number for Ryan Pfenning is 1649064700. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Ryan Pfenning located?

Ryan Pfenning practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-5000.

What is Ryan Pfenning'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 Pfenning enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Pfenning was last updated on April 5, 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.