DR. RYAN CONWAY WASSENAAR (D.O.) – Hospitalist Physician, NPI 1457516288

DR. RYAN CONWAY WASSENAAR (D.O.) is a healthcare provider. based in Globe, Arizona. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 007164 (AZ). The NPI Number for DR. RYAN CONWAY WASSENAAR (D.O.) is 1457516288

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN CONWAY WASSENAAR (D.O.)
NPI
1457516288
Phone
(928) 425-3261
Address
5880 S Hospital Dr
Enumeration Date
21 July 2008
Last Update Date
29 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6238324000
Graduation Year
2009 (17 years ago)
PAC ID
0749334357
Group Practice PAC ID
3274782487
Professional Enrollment ID
I20170309002700
Address ID
AZ853513004SU10401BLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for DR. RYAN CONWAY WASSENAAR (D.O.)

  • 5880 S Hospital Dr

    Globe, AZ 855019447

    Phone: (928) 425-3261

    Fax: (866) 368-6349

    Type: Location

  • 119, Heritage Drive, Oak Ridge, Anderson County, Tennessee, 37830, United States

    OAK RIDGE, TN 378307965

    Phone: (865) 804-1902

    Type: Mailing

  • Methodist Medical Center of Oak Ridge, 990, Oak Ridge Turnpike, Jackson Square, Oak Ridge, Anderson County, Tennessee, 37831, United States

    OAK RIDGE, TN 378306976

    Phone: (865) 835-4304

    Fax: (865) 835-4303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090817000576IInternal MedicineTNTBD
I20170309002700IInternal MedicineAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 85501)

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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: 3274782487View full group profile
NameSpecialtyState
Internal MedicineAZ
Psychiatry, Internal MedicineAZ
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)AZ
Diagnostic RadiologyAZ
Internal Medicine, HospitalistAZ
P S Y C H I A T R YAZ
Internal MedicineAZ
H O S P I T A L I S TNM
-AZ
Internal MedicineAZ

Reviews

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Frequently asked questions

What identifier follows DR. RYAN CONWAY WASSENAAR (D.O.) across health systems?
The NPI 1457516288 uniquely identifies DR. RYAN CONWAY WASSENAAR (D.O.) in U.S. healthcare data.
Quick check: is DR. RYAN CONWAY WASSENAAR (D.O.) active?
Public NPPES data shows DR. RYAN CONWAY WASSENAAR (D.O.) with an active NPI status right now.
What type of care does DR. RYAN CONWAY WASSENAAR (D.O.) provide?
DR. RYAN CONWAY WASSENAAR (D.O.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. RYAN CONWAY WASSENAAR (D.O.) in Globe, Arizona?
For routing, start with Globe, Arizona for DR. RYAN CONWAY WASSENAAR (D.O.), then verify phone and hours locally.
Why is information missing for DR. RYAN CONWAY WASSENAAR (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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