IndividualActive
Ryan Matherly, M.D.
NPI 1356344972 · Family Medicine Physician · Elkhart, IN
Provider details
- NPI number
- 1356344972
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01027540A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2115 W Lexington Ave
Elkhart, IN 46514-1423
Phone: (574) 296-3955
Fax: (574) 296-3999
Street-level locationGet directions
Mailing address
Po Box 2968
Elkhart, IN 46515-2968
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2010-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.