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

Ryan David Mallory, MD

Individual provider Interventional Cardiology Physician · NPI 1548674096

Ryan David Mallory, MD is a Cardiovascular Disease (Cardiology) in Muncie, Indiana. Qualified in 2014, 12 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana, Kentucky and Louisiana.

Years since qualifying
12
Licensed in
IL, IN, KY, LA
In the registry since
2014
Specialties on file
5
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

2525 W University Ave Ste 300
Muncie, IN 47303-3432
Phone: (765) 289-5420
Fax: (765) 281-2040
Show map & directions

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

Additional practice locations (1)

  • 550 University Blvd, Indianapolis, IN 46202-5149 — (317) 944-5000

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 349553 (LA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence C1703 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01076590A (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 036166970 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11017770A (IN)

Record details

NPI number1548674096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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