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RYAN STEPHEN FAJARDO M.D. NPI 1932286945


NPI Information

NPI: 1932286945
Provider Name: RYAN STEPHEN FAJARDO, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
804 SERVICE RD STE D100
EAST LANSING, MI
ZIP 48824
Phone: (517) 353-5053
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Ryan Stephen Fajardo, M.D. is a diagnostic radiology radiology in East Lansing, MI with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ryan Stephen Fajardo, M.D. NPI is 1932286945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

804 SERVICE RD STE D100
EAST LANSING, MI
ZIP 48824-015
Phone: (517) 353-5053
Fax: (517) 432-4394

The NPI 1932286945 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/10/2018.


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
12085R0202XRadiologyDiagnostic Radiology4301095664MICHIGANYes

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
11932286945MEDICAIDMICHIGAN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.