DR. RENEE ANNE RYAN M.D. NPI 1386811545

NPI Information

  • NPI: 1386811545
  • Provider Name: DR. RENEE ANNE RYAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4103 MEDICAL CENTER DR
    FAYETTEVILLE, NY
    ZIP 13066
  • Phone: (315) 637-7800

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NPI Details

DR. Renee Anne Ryan, M.D. is a family medicine in Fayetteville, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Renee Anne Ryan, M.D. NPI is 1386811545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4103 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066-600
Phone: (315) 637-7800
Fax: (315) 637-7808

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.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 5/15/2008 and was last updated on 2/20/2012.

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
1207P00000XEmergency Medicine248246NEW YORKNo
2207Q00000XFamily Medicine248246-1NEW YORKYes

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
1RB9041MEDICARE PINNEW YORK
203027323MEDICAIDNEW YORK
3204500162OTHERNEW YORKBLUE SHIELD
4J400063366MEDICARE PINNEW YORK

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: 11/21/2025

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