RYAN JACOB GIGSTAD MD
NPI 1770288557
Student in an Organized Health Care Education/Training Program in Maywood, IL

Active since April 03, 2023PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ryan Jacob Gigstad Md NPPES

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

RYAN JACOB GIGSTAD MD (NPI 1770288557) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770288557
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN JACOB GIGSTADCredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address15516 Logarto LnBurnsville, MN 55306-5134 · (952) 210-2641
Sole ProprietorYes
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
NPI 1770288557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

2160 S 1ST AVE, Maywood, IL 60153

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 Jacob Gigstad Md 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.

Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Specialist
2160 S 1ST AVE
MAYWOOD, IL 60153
Specialist
2160 S 1ST AVE, LUMC/AUDIOLOGY
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE, LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Otolaryngology
2160 S 1ST AVE, (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153

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 Gigstad's NPI number?

The NPI number for Ryan Gigstad is 1770288557. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Ryan Gigstad located?

Ryan Gigstad practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Ryan Gigstad'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 Gigstad enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Gigstad was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.