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

Micah J Ryan, MD

Individual provider Pediatrics Physician · NPI 1720373699

Micah J Ryan, MD is a Pediatric Medicine in Boys Town, Nebraska. Graduated from University of Nebraska College of Medicine in 2011, 15 years ago. Practices with Father Flanagans Boys Home, a 95-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2011
Specialties on file
2
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

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone: (402) 778-6900
Fax: (402) 778-6917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 27825 (NE)
Pediatrics Physician Taxonomy 208000000X · Licence 6547 (NE)

Record details

NPI number1720373699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2011
Last updated in NPPESJuly 21, 2014
Mailing address555 N 30th St, Omaha, NE 68131-2136

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Father Flanagans Boys Home — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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