Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith T Ryan, MD

Individual provider Internal Medicine Physician · NPI 1366416869

Keith T Ryan, MD is an Internal Medicine in Flagstaff, Arizona. Graduated from University of Missouri, Columbia School of Medicine in 1991, 35 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Arizona.

Years since qualifying
35
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 E Oak Ave Ste 202
Flagstaff, AZ 86001-1818
Phone: (928) 213-8633
Fax: (928) 213-8634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 22530 (AZ)

Record details

NPI number1366416869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 14, 2006
Last updated in NPPESMarch 1, 2011
Mailing address107 E Oak Ave, Suite 202, Flagstaff, AZ 86001-1818

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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