RYAN MALDONADO (PA) – Physician Assistant, NPI 1376793844

RYAN MALDONADO (PA) is a healthcare provider. based in Lansing, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 5601005307 (MI). The NPI Number for RYAN MALDONADO (PA) is 1376793844

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MALDONADO (PA)
NPI
1376793844
Phone
(517) 337-0957
Address
1215 E MICHIGAN AVE
Enumeration Date
22 September 2008
Last Update Date
11 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3038577958
Graduation Year
2008 (18 years ago)
PAC ID
0446311898
Group Practice PAC ID
5890054100
Professional Enrollment ID
I20120426000623
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for RYAN MALDONADO (PA)

  • Sparrow Hospital, 1215, East Michigan Avenue, Lansing, Lansing Charter Township, Ingham County, Michigan, 48912, United States

    LANSING, MI 489121811

    Phone: (517) 337-0957

    Type: Location

  • 6896, West Snowville Road, Brecksville, Cuyahoga County, Ohio, 44141, United States

    BRECKSVILLE, OH 441413214

    Phone:

    Type: Mailing

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: 2012-04-26

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
I20120426000623IPhysician AssistantCOTBD

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
99284Emergency department visit with moderate level of medical decision making3030$0
99285Emergency department visit with high level of medical decision making3029$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2118$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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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: 5890054100View full group profile
NameSpecialtyState
-CO
H E M A T O L O G Y/ O N C O L O G YFL
-CO
P O D I A T R YTX
Certified Clinical Nurse Specialist (Cns)CO
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Physician AssistantCO
Physician AssistantCO
-CO
O B S T E T R I C S/ G Y N E C O L O G YCO

Reviews

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Frequently asked questions

Does RYAN MALDONADO (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RYAN MALDONADO (PA) uses 1376793844.
Is RYAN MALDONADO (PA) still practicing?
RYAN MALDONADO (PA) is currently listed as active in the public NPI registry.
What is RYAN MALDONADO (PA)'s specialty?
The listing groups RYAN MALDONADO (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is RYAN MALDONADO (PA) based?
RYAN MALDONADO (PA) is tied to Lansing, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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