RYAH MCKINLEY (DO) – Psychiatry Physician, NPI 1063945871

RYAH MCKINLEY (DO) is a healthcare provider. based in Fairbanks, Alaska. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 211874 (AK). The NPI Number for RYAH MCKINLEY (DO) is 1063945871

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
RYAH MCKINLEY (DO)
NPI
1063945871
Phone
(406) 407-1845
Address
1040 GILMORE ST
Enumeration Date
7 April 2017
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Secondary Phone
9078616000
Graduation Year
2017 (9 years ago)
PAC ID
2860749421
Group Practice PAC ID
5698686475
Professional Enrollment ID
I20231030001696
Address ID
AK996458984PA2500XLOOP400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

113 PSYCHIATRY in AK

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Provider Addresses for RYAH MCKINLEY (DO)

  • 1040, Gilmore Street, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997014117

    Phone: (406) 407-1845

    Type: Mailing

  • PO BOX 689022

    FRANKLIN, TN 370689022

    Phone: (615) 465-7211

    Type: Mailing

  • 2500 S WOODWORTH LOOP

    PALMER, AK 996458984

    Phone: (907) 861-6565

    Fax: (907) 961-6568

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: ABBVIE INC. ($138).

Total Amount

$216

General + Research + Ownership

Payments

6

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231030001696IPsychiatryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698686475View full group profile

Reviews

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Frequently asked questions

How do payers reference RYAH MCKINLEY (DO)?
For RYAH MCKINLEY (DO), use NPI 1063945871 as the unique 10-digit identifier.
Active or inactive — what applies to RYAH MCKINLEY (DO)?
You should see RYAH MCKINLEY (DO) as active in CMS-hosted NPPES data.
What clinical focus is listed for RYAH MCKINLEY (DO)?
At a glance, RYAH MCKINLEY (DO) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is RYAH MCKINLEY (DO) located near Fairbanks?
RYAH MCKINLEY (DO) currently maps to Fairbanks, Alaska in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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