DR. RYAN NICHOLAS CRETE M.D. NPI 1417119553

NPI Information

NPI: 1417119553
Provider Name: DR. RYAN NICHOLAS CRETE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY IMAGING ASSOCIATES PC

PECOS Registration: Yes

Address:
500 ALA MOANA BLVD STE 5B
HONOLULU, HI
ZIP 96813
Phone: (303) 761-9190
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DR. Ryan Nicholas Crete, M.D. is a diagnostic radiology radiology in Honolulu, HI with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ryan Nicholas Crete, M.D. NPI is 1417119553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

500 ALA MOANA BLVD STE 5B
HONOLULU, HI
ZIP 96813
Phone: (303) 761-9190
Fax: (720) 874-4462

The NPI 1417119553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 7/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD-15289	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10026277800	MEDICAID	NEBRASKA
2	627576YQN9	OTHER	COLORADO	MEDICARE
3	84089712600	MEDICAID	NEBRASKA
4	H104776	OTHER	HAWAII	MEDICARE
5	10026277700	MEDICAID	NEBRASKA
6	627576ZLJ3	OTHER	COLORADO	MEDICARE
7	NA1214127	OTHER	NEBRASKA	MEDICARE
8	627576ZNTB	OTHER	COLORADO	MEDICARE
9	NA1215128	OTHER	NEBRASKA	MEDICARE
10	NA2517105	OTHER	NEBRASKA	MEDICARE
11	10026277500	MEDICAID	NEBRASKA
12	627576YQ33	OTHER	COLORADO	MEDICARE
13	H104995	OTHER	HAWAII	MEDICARE
14	KA3249105	OTHER	KANSAS	MEDICARE
15	10025709000	MEDICAID	NEBRASKA
16	10026277400	MEDICAID	NEBRASKA
17	10026277600	MEDICAID	NEBRASKA
18	627576AE6Y	OTHER	COLORADO	MEDICARE
19	111257114	OTHER	KANSAS	MEDICARE
20	84059792913	MEDICAID	NEBRASKA
21	9000156797	MEDICAID	COLORADO
22	H111054	OTHER	HAWAII	MEDICARE
23	10026277300	MEDICAID	NEBRASKA
24	627576YQPG	OTHER	COLORADO	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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