RYAN KORODAN
NPI 1861064842
Nurse Anesthetist, Certified Registered in Detroit, MI
About Ryan Korodan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN KORODAN (NPI 1861064842) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704285840) and active in the NPI registry since July 2021. He is affiliated with Beaumont Hospital Royal Oak, maintains a secondary practice location in Macomb, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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 Korodan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48202
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 Korodan's NPI number?
The NPI number for Ryan Korodan is 1861064842. It was assigned to this individual provider in the NPPES registry on July 11, 2021.
Where is Ryan Korodan located?
Ryan Korodan practices at 2799 W Grand Blvd Fl 3, Detroit, MI 48202. The listed phone number is (313) 916-8078.
What is Ryan Korodan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ryan Korodan enrolled in Medicare?
Yes. Ryan Korodan is registered in the Medicare PECOS enrollment system.
What insurance does Ryan Korodan accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ryan Korodan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ryan Korodan affiliated with any hospitals?
According to CMS data, Ryan Korodan is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Ryan Korodan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Ryan Korodan · NPI 1861064842
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 11, 2021.
## Identity
- **NPI:** 1861064842 (Entity type: Individual)
- **Enumerated:** July 11, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704285840 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2799 W GRAND BLVD FL 3, Detroit, MI 48202-2608
- **Phone:** (313) 916-8078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861064842) · Data from the CMS NPPES public registry.