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

Individual provider Diagnostic Radiology Physician · NPI 1912584145

Ryan Thibodeau, MD is a Diagnostic Radiology in Albany, New York. Graduated from State University of Ny Upstate Medical University in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2021
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

47 New Scotland Ave Radiology Dept
Albany, NY 12208-3412
Phone: (518) 262-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 342442 (NY)

Record details

NPI number1912584145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address6 Wellness Way Ste 201, Latham, NY 12110-2156

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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