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DR. KIMBERLY JEAN VANRYZIN M.D.
NPI 1770964413
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since June 17, 2015PECOS Enrolled
1701 N SENATE BLVD # B401, INDIANAPOLIS, IN 46202(317) 962-5975 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kimberly Jean Vanryzin M.d. NPPES

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

DR. KIMBERLY JEAN VANRYZIN M.D. (NPI 1770964413) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11018313A) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770964413
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KIMBERLY JEAN VANRYZINCredential: M.D.
Location Address1701 N SENATE BLVD # B401Indianapolis, IN 46202
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (317) 963-2849
Phone(317) 962-5975
Sole ProprietorNo
Enumeration DateJune 17, 2015
Last NPPES UpdateJuly 10, 2018
✔ NPI 1770964413 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 IN · 11018313A
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.
1701 N SENATE BLVD # B401, Indianapolis, IN 46202
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Other Identifiers 1

Medicaid300015016IN

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. Kimberly Jean Vanryzin M.d. 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 4

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

EVAN ANDERSON MD
Student in an Organized Health Care Education/Training Program
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (313) 916-3849
DR. ERIN MACDONALD OWENS M.D.
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (214) 450-5001
ALFRED Z WANG MD
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
ANNE C WHITEHEAD MD
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975

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 Kimberly Vanryzin's NPI number?

The NPI number for Kimberly Vanryzin is 1770964413. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Kimberly Vanryzin located?

Kimberly Vanryzin practices at 1701 N Senate Blvd # B401, Indianapolis, IN 46202. The listed phone number is (317) 962-5975.

What is Kimberly Vanryzin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Vanryzin enrolled in Medicare?

Yes. Kimberly Vanryzin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Vanryzin was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.