Provider Demographics
NPI:1689669061
Name:PIPER, RYAN V (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:V
Last Name:PIPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9998 CROSSPOINT BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3307
Mailing Address - Country:US
Mailing Address - Phone:317-579-2150
Mailing Address - Fax:317-579-2130
Practice Address - Street 1:9998 CROSSPOINT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3307
Practice Address - Country:US
Practice Address - Phone:317-579-2150
Practice Address - Fax:317-579-2130
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01036950A2085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00042571OtherRR MEDICARE
IN000000300097OtherANTHEM
IN100099660AMedicaid
P00014741OtherRR MEDICARE PIN
P00016918OtherRR MEDICARE PIN
P00014869OtherRR MEDICARE PIN
P00014871OtherRR MEDICARE PIN
P00014559OtherRR MEDICARE PIN
P00014753OtherRR MEDICARE PIN
P00046068OtherRR MEDICARE PIN
P00014441OtherRR MEDICARE PIN
P00014560OtherRR MEDICARE PIN
P00014870OtherRR MEDICARE PIN
P00014412OtherRR MEDICARE PIN
P00014437OtherRR MEDICARE PIN
P00014441OtherRR MEDICARE PIN
INE44306Medicare UPIN
IN822400FFMedicare PIN
P00014870OtherRR MEDICARE PIN
IN100099660AMedicaid
152690AAMedicare PIN