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

Mr. Ryan David Nicklas, MD

Individual provider Anesthesiology Physician · NPI 1770075533

Mr. Ryan David Nicklas, MD is an Anesthesiology in Wpafb, Ohio. Graduated from University of Toledo College of Medicine in 2020, 6 years ago. Practices with Phs Anesthesia Billing, LLC, a 239-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Ohio and Pennsylvania.

Years since qualifying
6
Trained at
University of Toledo College of Medicine
Licensed in
GA, OH, PA
In the registry since
2018
Specialties on file
3
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

4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (376) 302-1619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (377) 024-4509

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35.149304 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD476020 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 010050 (GA)

Record details

NPI number1770075533
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address4881 Sugar Maple Dr, Wpafb, OH 45433-5529

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Phs Anesthesia Billing, Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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