MADELINE LOUISE RYAN (PA-C) – Physician Assistant, NPI 1164909172

MADELINE LOUISE RYAN (PA-C) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10002488A (IN). The NPI Number for MADELINE LOUISE RYAN (PA-C) is 1164909172

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE LOUISE RYAN (PA-C)
NPI
1164909172
Phone
(317) 706-3415
Address
29943 NETWORK PL
Enumeration Date
23 July 2018
Last Update Date
27 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3177067246309
Graduation Year
2018 (8 years ago)
PAC ID
4789932146
Group Practice PAC ID
2769468990
Professional Enrollment ID
I20180801003809
Address ID
IN479056655LA3738XDRXX301

Contacts

Other Endpoint
www.sbortho.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:7State licenses:2Other names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MADELINE LOUISE RYAN (PA-C)

  • 29943 NETWORK PL

    CHICAGO, IL 606731299

    Phone: (317) 706-3415

    Fax: (317) 706-3417

    Type: Mailing

  • 11595 N MERIDIAN ST STE 402

    CARMEL, IN 460326947

    Phone: (317) 706-7246

    Fax: (317) 706-3417

    Type: Location

  • Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465451465

    Phone: (317) 902-9075

    Type: Mailing

  • 53880 CARMICHAEL DR

    SOUTH BEND, IN 466351567

    Phone: (574) 247-9441

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Heron Therapeutics, Inc.$26
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: 2018-08-01

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
I20180801003809IPhysician AssistantINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16029$0
20610Aspiration and/or injection of fluid from large joint3432$0
73502X-ray of hip, 2-3 views1514$0
View full utilization report →

Insurance plans in this area (ZIP 60673)

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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: 2769468990View full group profile
NameSpecialtyState
-IN
Anesthesiology, Pain Management, AnesthesiologyFL
Nurse PractitionerIN
Physician AssistantIL
Pain ManagementIN
Pain Management, Anesthesiology, NeurologyIN
Clinical PsychologistIL
Nurse PractitionerIN
Physical Therapist In Private PracticeIN
-IN

Reviews

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Frequently asked questions

How do I look up MADELINE LOUISE RYAN (PA-C) by NPI?
Use NPI 1164909172 when you need to reference MADELINE LOUISE RYAN (PA-C) in forms, claims, or directories.
Is MADELINE LOUISE RYAN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MADELINE LOUISE RYAN (PA-C) treat or focus on?
Patients typically see MADELINE LOUISE RYAN (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MADELINE LOUISE RYAN (PA-C)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for MADELINE LOUISE RYAN (PA-C).
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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