Ryan David Mallory, MD in Muncie, IN - Medicare Cardiovascular Disease (cardiology)

Ryan David Mallory, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Muncie, Indiana. He went to Ohio State University College Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Good Samaritan Regional Health Center, Baptist Health Medical Group Inc, Carle West Physician Group Inc, Physician Services Corporation Of Southern Illinois Inc, St Joseph Hospital Llc and his current practice location is 2525 W University Ave Ste 300, Muncie, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 289-5420.

Ryan David Mallory is licensed to practice in Louisiana (license number 349553) 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 1548674096.

Contact Information

	Ryan David Mallory, MD
	2525 W University Ave Ste 300, Muncie, IN 47303-3432
	(765) 289-5420
	(765) 281-2040

Map and Direction

Physician's Profile

Full Name	Ryan David Mallory
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	12 Years
Location	2525 W University Ave Ste 300, Muncie, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan David Mallory attended and graduated from Ohio State University College Of Medicine in 2014

NPI Data:

NPI Number: 1548674096
Provider Enumeration Date: 06/12/2014
Last Update Date: 07/01/2026

Medicare PECOS Information:

PECOS PAC ID: 4183849912
Enrollment ID: I20231220003283

Medical Identifiers

Medical identifiers for Ryan David Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548674096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	349553 (Louisiana)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	C1703 (Kentucky)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	01076590A (Indiana)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	036166970 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	11017770A (Indiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital
Baptist Health Corbin	Corbin, KY	Hospital
St Joseph Regional Medical Center	Lewiston, ID	Hospital
Slidell Memorial Hospital	Slidell, LA	Hospital
Advocate Bromenn Medical Center	Normal, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Samaritan Regional Health Center	1658272059	151
Baptist Health Medical Group Inc	5597867184	2449
Carle West Physician Group Inc	8921420308	290
Physician Services Corporation Of Southern Illinois Inc	9234022567	123
St Joseph Hospital Llc	8325325806	88

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. Ryan David Mallory allows following entities to bill medicare on his behalf.

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

Entity Name	Carle Bromenn Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187

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. Ryan David Mallory 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 Address	Practice Location Address
Ryan David Mallory, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Ryan David Mallory, MD 2525 W University Ave Ste 300, Muncie, IN 47303-3432 Ph: (765) 289-5420

Reviews and Comments

Internal Medicine Doctors in Muncie, IN

Dr. Thomas Kelsey Gardiner, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7100 W Isanogel Rd, Muncie, IN 47304 Phone: 765-289-0939
Dr. Michael Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 347-226-8009
Mark Q. Nguyen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1910 W Royale Dr, Muncie, IN 47304 Phone: 765-289-1011 Fax: 765-289-3024
William B Fisher, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2401 W University Ave, Cancer Center, Muncie, IN 47303 Phone: 768-281-2030 Fax: 765-747-8452
Dr. Karim Saleb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave Ste 300, Muncie, IN 47303 Phone: 765-289-5420 Fax: 765-281-2065
Marriam Ali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-741-1515 Fax: 765-751-5087
Venkat Narsimha Reddy Gaddam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 W University Ave Ste 401, Muncie, IN 47303 Phone: 765-747-4306

Ryan David Mallory, MD - Medicare Cardiovascular Disease (cardiology) in Muncie, IN