Dr Ryan Stewart Clark, DO - Medicare Internal Medicine in Kettering, OH

Dr Ryan Stewart Clark, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Kettering, Ohio. He went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 1380 E Stroop Rd, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 293-3486.

Dr Ryan Stewart Clark is licensed to practice in Ohio (license number 34010728) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396049011.

Contact Information

Dr Ryan Stewart Clark, DO
1380 E Stroop Rd,
Kettering, OH 45429-4926
(937) 293-3486
(937) 293-3605

Map and Direction




Physician's Profile

Full NameDr Ryan Stewart Clark
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location1380 E Stroop Rd, Kettering, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ryan Stewart Clark attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2010
  NPI Data:
  • NPI Number: 1396049011
  • Provider Enumeration Date: 01/10/2011
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183862105
  • Enrollment ID: I20131015000780

Medical Identifiers

Medical identifiers for Dr Ryan Stewart Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396049011NPI-NPPES
0100097MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 34010728 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program 58.003689 (Ohio)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 34010728 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital
Troy HospitalTroy, OHHospital
Wayne HealthcareGreenville, OHHospital
Wilson Memorial HospitalSidney, OHHospital
Kettering Medical CenterKettering, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936586

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ryan Stewart Clark allows following entities to bill medicare on his behalf.
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Stewart Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ryan Stewart Clark, DO
1103 Fairington Dr,
Sidney, OH 45365-8130

Ph: (937) 980-7400
Dr Ryan Stewart Clark, DO
1380 E Stroop Rd,
Kettering, OH 45429-4926

Ph: (937) 293-3486

Reviews and Comments


Internal Medicine Doctors in Kettering, OH

Dr. Heather D Riggs Carter, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Bvld., Ste. 401, Kettering, OH 45429
Phone: 855-500-2873    Fax: 937-281-3913
Dr. Jeremy Lawton Chapman, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-395-6668
Saleem Ahmad, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429
Phone: 937-298-8058    Fax: 937-298-5638
Calvert Raymond Busch, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1380 E Stroop Rd, Kettering, OH 45429
Phone: 937-293-3486    Fax: 937-293-3605
Dr. Hemant M Shah, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd Ste 5800, Kettering, OH 45429
Phone: 937-439-3600    Fax: 937-741-8366
Martin Burbank, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-384-6800    Fax: 937-384-6938
Naveen K Vijayam,
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-395-6668

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.