RYAN ZAHALKA – Emergency Medicine Physician, NPI 1417585035

RYAN ZAHALKA is a healthcare provider. based in Boston, Massachusetts. specializing in EMERGENCY MEDICINE. They hold a License No. 1018871 (MA). The NPI Number for RYAN ZAHALKA is 1417585035

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RYAN ZAHALKA
NPI
1417585035
Phone
(617) 724-4100
Address
55 FRUIT ST
Enumeration Date
30 March 2020
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
9784631000
Graduation Year
2020 (6 years ago)
PAC ID
6800331075
Group Practice PAC ID
4688193071
Professional Enrollment ID
I20240711002812
Address ID
MA019503867NE25XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for RYAN ZAHALKA

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (617) 724-4100

    Type: Location

  • 3400 Spruce St

    Philadelphia, PA 191044238

    Phone: (215) 662-6305

    Fax: (215) 662-2875

    Type: Location

  • 3400 SPRUCE ST

    PHILADELPHIA, PA 191044238

    Phone: (215) 662-6305

    Fax: (215) 662-2875

    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: 2024-07-11

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
I20240711002812IEmergency MedicineMATBD

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 02114)

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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: 4688193071View full group profile
NameSpecialtyState
Physician AssistantOH
Emergency MedicineFL
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Physician AssistantNC
Emergency MedicineCO
Emergency MedicineMA
Nurse PractitionerNJ
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does RYAN ZAHALKA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RYAN ZAHALKA uses 1417585035.
Does CMS list RYAN ZAHALKA as active?
Yes — RYAN ZAHALKA is active in the NPI listing used on this page.
What is RYAN ZAHALKA's primary classification?
Emergency Medicine Physician is the headline specialty for RYAN ZAHALKA here. Clinical services aligned with this taxonomy classification.
What area does RYAN ZAHALKA serve?
RYAN ZAHALKA's listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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