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

Individual provider Diagnostic Radiology Physician · NPI 1821039025

Michael J Ryan, MD is a Diagnostic Radiology in Boise, Idaho. Qualified in 1966, 60 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
60
Licensed in
ID
In the registry since
2006
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

232 S Whisperwood Way
Boise, ID 83709-4900
Phone: (208) 350-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence M5502 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M5502 (ID)

Record details

NPI number1821039025
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESMarch 12, 2014
Mailing addressPo Box 9649, Boise, ID 83707-4649

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1966 (60 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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