JOHN RYU (MD) – Diagnostic Neuroimaging (Radiology) Physician, NPI 1154749174

JOHN RYU (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35.127332 (OH). The NPI Number for JOHN RYU (MD) is 1154749174

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RYU (MD)
NPI
1154749174
Phone
(215) 662-6918
Address
3400 SPRUCE STREET
Enumeration Date
7 April 2014
Last Update Date
24 January 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8592761022
Graduation Year
2014 (12 years ago)
PAC ID
0345550778
Group Practice PAC ID
5395718670
Professional Enrollment ID
I20221208002210
Address ID
KY405033158LE2463XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

2,563 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for JOHN RYU (MD)

  • 3400 SPRUCE STREET

    1 SILVERSTEIN RADIOLOGY ADMINISTRATION SUITE 130

    PHILADELPHIA, PA 19104

    Phone: (215) 662-6918

    Fax: (215) 662-2664

    Type: Mailing

  • 3400 SPRUCE ST

    PHILADELPHIA, PA 19104

    Phone: (215) 662-6918

    Fax: (215) 662-2664

    Type: Location

  • 5400 KENNEDY AVE

    CINCINNATI, OH 452132664

    Phone: (877) 776-7226

    Type: Location

  • 395 W 12TH AVE

    COLUMBUS, OH 432101267

    Phone: (614) 293-8315

    Fax: (614) 293-6935

    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: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20200819001296IDiagnostic RadiologyPATBD
I20210430001223IDiagnostic RadiologyFLTBD
I20210803003917IDiagnostic RadiologyOHTBD
I20221208002210IDiagnostic RadiologyKYTBD
I20251029003210IDiagnostic RadiologyILTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml8,61062$0
72148Mri scan of lower spinal canal without contrast634631$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml35312$0
70551Mri scan of brain without contrast314313$0
72141Mri scan of upper spinal canal without contrast217217$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 5395718670View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyKY
Diagnostic RadiologyOH
Diagnostic Radiology, Nuclear MedicineOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH

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Frequently asked questions

Where can patients find JOHN RYU (MD)'s NPI?
You can confirm JOHN RYU (MD) with NPI 1154749174; it appears in the national provider directory.
Is JOHN RYU (MD) currently active in the NPI registry?
CMS-published data lists JOHN RYU (MD) as an active registrant.
What field does JOHN RYU (MD) work in?
You can think of JOHN RYU (MD) as practicing within Diagnostic Neuroimaging (Radiology) Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOHN RYU (MD)?
We surface Philadelphia, Pennsylvania for JOHN RYU (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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