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

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Ryan David Mallory, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Muncie, Indiana. He graduated from medical school 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 NameRyan David Mallory
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience12 Years
Location2525 W University Ave Ste 300, Muncie, Indiana
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:
  • Ryan David Mallory graduated from medical school 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.
IdentifierTypeStateIssuer
1548674096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 349553 (Louisiana)Primary
207RI0011XInternal Medicine - Interventional Cardiology C1703 (Kentucky)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 01076590A (Indiana)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 036166970 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 11017770A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Regional Hlth CenterMount vernon, ILHospital
Baptist Health CorbinCorbin, KYHospital
St Joseph Regional Medical CenterLewiston, IDHospital
Slidell Memorial HospitalSlidell, LAHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center1658272059155
Baptist Health Medical Group Inc55978671842431
Carle West Physician Group Inc8921420308282
Physician Services Corporation Of Southern Illinois Inc9234022567120
St Joseph Hospital Llc832532580691

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 NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameCarle Bromenn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Ryan David Mallory, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: Not Available		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: Not Enrolled in Medicare
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: Not Enrolled in Medicare
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
Ms. Sarvani Surapaneni, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2525 W University Ave Ste 300, Muncie, IN 47303
Phone: 765-289-5408    Fax: 765-289-5346
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    

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).

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