DR. RYAN JAMES MULLIGAN MD, PHD
NPI 1023958352
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 30, 2026PECOS Enrolled
1215 LEE ST BOX 800904, CHARLOTTESVILLE, VA 22908(434) 924-1946(434) 924-9492 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan James Mulligan Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN JAMES MULLIGAN MD, PHD (NPI 1023958352) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023958352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN JAMES MULLIGANCredential: MD, PHD
Location Address1215 LEE ST BOX 800904Charlottesville, VA 22908-0816
Mailing Address1215 Lee St, Box 800904Charlottesville, VA 22908-0816 · (434) 924-1946 · Fax (434) 924-9492
Fax(434) 924-9492
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 29, 2026
NPI 1023958352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST BOX 800904, Charlottesville, VA 22908

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan James Mulligan Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908
Pathology (Pediatric Pathology)
1215 LEE ST BOX 800904
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Mulligan's NPI number?

The NPI number for Ryan Mulligan is 1023958352. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Ryan Mulligan located?

Ryan Mulligan practices at 1215 Lee St Box 800904, Charlottesville, VA 22908. The listed phone number is (434) 924-1946.

What is Ryan Mulligan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Mulligan enrolled in Medicare?

Yes. Ryan Mulligan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Mulligan was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.