RYAN J THORDAL D.O.
NPI 1871848846
General Practice in Mcconnell Afb, KS
About Ryan J Thordal D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN J THORDAL D.O. (NPI 1871848846) is an individual general practice provider in Mcconnell Afb, Kansas, licensed in Minnesota (57333) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryan J Thordal D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Thordal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 220 clinicians in this Medicare group
Clewiston, FL 33440
- Reassigned Medicare billing, New Jersey enrollment
- 40 clinicians in this Medicare group
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 64 clinicians in this Medicare group
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MCCONNELL AFB, KS 67221
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 Thordal's NPI number?
The NPI number for Ryan Thordal is 1871848846. It was assigned to this individual provider in the NPPES registry on July 17, 2012.
Where is Ryan Thordal located?
Ryan Thordal practices at 57950 Leavenworth St, Mcconnell Afb, KS 67221. The listed phone number is (316) 759-5116.
What is Ryan Thordal's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Ryan Thordal enrolled in Medicare?
Yes. Ryan Thordal is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ryan Thordal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Thordal reassigns Medicare benefits to 4 organizations: Green Valley Emergency Physicians, LLC (Paducah, KY), Small Hospital Innovations LLC (Clewiston, FL), Upstate Ny Physician PLLC (Amsterdam, NY) and Wajeeh Sana Physician PC (Amsterdam, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Thordal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Thordal was last updated on April 12, 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.
# Ryan J Thordal, D.O. · NPI 1871848846
General Practice physician in Mcconnell Afb, Kansas. Individual provider, active in the CMS NPPES registry since July 17, 2012.
## Identity
- **NPI:** 1871848846 (Entity type: Individual)
- **Enumerated:** July 17, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 57333 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 57950 LEAVENWORTH ST, Mcconnell Afb, KS 67221-3506
- **Phone:** (316) 759-5116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Green Valley Emergency Physicians, LLC (NPI 1720755739, Paducah, KY); Small Hospital Innovations LLC (NPI 1184040560, Clewiston, FL); Upstate Ny Physician PLLC (NPI 1487484523, Amsterdam, NY); Wajeeh Sana Physician PC (NPI 1700643830, Amsterdam, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1871848846) · Data from the CMS NPPES public registry.