DR. RYAN FREDRIC BLOOMQUIST MD,PHD,DMD,MBA,MPH
NPI 1659893857
Internal Medicine in Augusta, GA

Active since July 10, 2017PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-2371(706) 721-6778 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Mar 12, 2021, May 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Ryan Fredric Bloomquist Md,phd,dmd,mba,mph NPPES

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

DR. RYAN FREDRIC BLOOMQUIST MD,PHD,DMD,MBA,MPH (NPI 1659893857) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (17782) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659893857
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RYAN FREDRIC BLOOMQUISTCredential: MD,PHD,DMD,MBA,MPH
Location Address1120 15TH STAugusta, GA 30912-0001
Mailing Address1120 15th StAugusta, GA 30912-0001 · (706) 721-2371 · Fax (706) 721-6778
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1659893857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 17782
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.

Also ListedDentistTaxonomy 122300000X · License DN015571 (GA)
1120 15TH ST, Augusta, GA 30912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Fredric Bloomquist Md,phd,dmd,mba,mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Pharmacist (Pharmacotherapy)
1120 15TH ST, DEPARTMENT OF PHARMACY
AUGUSTA, GA 30912
Orthopaedic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST, DEPARTMENT OF NEUROLOGY
AUGUSTA, GA 30912
Genetic Counselor, MS
1120 15TH ST, BB7514
AUGUSTA, GA 30912
Emergency Medicine (Emergency Medical Services)
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST, ROOM 2144
AUGUSTA, GA 30912
Dentist (Endodontics)
1120 15TH ST, MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
AUGUSTA, GA 30912

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 Bloomquist's NPI number?

The NPI number for Ryan Bloomquist is 1659893857. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Ryan Bloomquist located?

Ryan Bloomquist practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2371.

What is Ryan Bloomquist's specialty?

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

Is Ryan Bloomquist enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Bloomquist was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.