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RYAN THIBODEAU MD
NPI 1912584145
Radiology - Diagnostic Radiology in Albany, NY

Active since March 25, 2021PECOS Enrolled
47 NEW SCOTLAND AVE, RADIOLOGY DEPT, ALBANY, NY 12208(518) 262-3277 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ryan Thibodeau Md NPPES

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

RYAN THIBODEAU MD (NPI 1912584145) is an individual diagnostic radiology provider in Albany, New York, licensed in New York (342442) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2021).

NPPES Registry Identity

NPI1912584145
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameRYAN THIBODEAUCredential: MD
Location Address47 NEW SCOTLAND AVE, RADIOLOGY DEPTAlbany, NY 12208-3412
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700
Phone(518) 262-3277
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1912584145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 342442
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
47 NEW SCOTLAND AVE, Albany, NY 12208
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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 Thibodeau Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416429691
PECOS Enrollment IDI20260618002101, I20260622002656
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 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

AMC
Psychiatric Hospital
47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208
Albany County (516) 547-3032
BRIANNA SAMSON PA-C
Physician Assistant (Medical)
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5332
VILOK DESAI
Student in an Organized Health Care Education/Training Program
47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208
Albany County (518) 264-5578
TAYLOR SEKYRA
Physician Assistant
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5521
DR. TODD BEYER MD
Surgery
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-5623
ROBIN M GRAY FNP
Nurse Practitioner
47 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3480
MR. SREENIVAS GARLA MD
Radiology (Neuroradiology)
47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208
Albany County (518) 262-3277
DR. KRISTEN MORGAN PEACE M.D.
Emergency Medicine
47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-3773

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 Thibodeau's NPI number?

The NPI number for Ryan Thibodeau is 1912584145. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Ryan Thibodeau located?

Ryan Thibodeau practices at 47 New Scotland Ave Radiology Dept, Albany, NY 12208. The listed phone number is (518) 262-3277.

What is Ryan Thibodeau's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ryan Thibodeau enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Thibodeau was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.