RYAN M ALEXANDER (DO) – Diagnostic Radiology Physician, NPI 1114289741

RYAN M ALEXANDER (DO) is a healthcare provider. based in Fort worth, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. R6728 (TX). The NPI Number for RYAN M ALEXANDER (DO) is 1114289741

Main info

Male
14 Years Of Experience
Name
RYAN M ALEXANDER (DO)
NPI
1114289741
Phone
(817) 321-0404
Address
815 PENNSYLVANIA AVE
Enumeration Date
11 June 2012
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
2144205445
Graduation Year
2012 (14 years ago)
PAC ID
7416193453
Group Practice PAC ID
3072836600
Professional Enrollment ID
I20180522002365
Address ID
TX760639147MA2975XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for RYAN M ALEXANDER (DO)

  • 815 PENNSYLVANIA AVE

    FORT WORTH, TX 761042224

    Phone: (817) 321-0404

    Type: Location

  • 816 W CANNON ST

    FORT WORTH, TX 761043194

    Phone: (817) 321-0404

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180522002365IDiagnostic RadiologyTXTBD
I20220209002923IDiagnostic RadiologyOKTBD
I20220322002657IDiagnostic RadiologyARTBD

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
71045X-ray of chest, 1 view2,2021,972$0
70450Ct scan head or brain without contrast525519$0
74018X-ray of abdomen, 1 view277245$0
74177Ct scan of abdomen and pelvis with contrast262261$0
74176Ct scan of abdomen and pelvis without contrast230229$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 3072836600View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyNJ
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN M ALEXANDER (DO)?
RYAN M ALEXANDER (DO) — NPI 1114289741 — is the standard way to identify this listing.
Can I rely on RYAN M ALEXANDER (DO) being an active provider?
As of the registry snapshot, RYAN M ALEXANDER (DO) is marked active.
What is RYAN M ALEXANDER (DO) best known for clinically?
Directory data describes RYAN M ALEXANDER (DO) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN M ALEXANDER (DO) on a map?
Expect Fort Worth, Texas as a primary anchor for RYAN M ALEXANDER (DO) unless the record lists multiple sites.
Is the information about RYAN M ALEXANDER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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