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

Ryan Anthony Fisicaro, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639529910

Ryan Anthony Fisicaro, MD is a Diagnostic Radiology in Honolulu, Hawaii. Graduated from University of Texas Southwestern Medical School at Dallas in 2022, 4 years ago. Practices with Queens University Medical Group, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii and Pennsylvania.

Years since qualifying
4
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
HI, PA
In the registry since
2016
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

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (215) 456-7890

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD24354 (HI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT211183 (PA)

Record details

NPI number1639529910
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2022 (4 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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