RYAN J SULLIVAN M.D.
NPI 1376562694
Surgery - Trauma Surgery in Tuscaloosa, AL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401(205) 759-6925 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Mar 23, 2023, Dec 20, 2019 (3 updates tracked since 2019).

About Ryan J Sullivan M.d. NPPES

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

RYAN J SULLIVAN M.D. (NPI 1376562694) is an individual trauma surgery provider in Tuscaloosa, Alabama, licensed in Illinois (036-113954) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and maintains a secondary practice location in Downers Grove.

NPPES Registry Identity

NPI1376562694
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameRYAN J SULLIVANCredential: M.D.
Location Address809 UNIVERSITY BLVD ETuscaloosa, AL 35401-2071
Mailing Address2259 W Saint Paul AveChicago, IL 60647-5425
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1376562694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Licenses Licensed in IL · 036-113954 Licensed in AL · 37362
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 036-113954 (IL), 558-320 (WI)
809 UNIVERSITY BLVD E, Tuscaloosa, AL 35401

Secondary Practice Location 1

Location 13825 Highland Ave Ste 303Downers Grove, IL 60515-1562 · Phone (630) 275-7800 · Fax (630) 241-9215

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ryan J Sullivan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880697085
PECOS Enrollment IDI20060808000350
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Internal Medicine
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401
Internal Medicine (Medical Oncology)
809 UNIVERSITY BLVD E, DCH CANCER TREATMENT CENTER
TUSCALOOSA, AL 35401
Internal Medicine
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401
Nurse Practitioner
809 UNIVERSITY BLVD E, MEDICAL TOWER #124
TUSCALOOSA, AL 35401
Nurse Anesthetist, Certified Registered
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401
General Acute Care Hospital
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401
Nurse Practitioner (Family)
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401
Nurse Anesthetist, Certified Registered
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401

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 Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1376562694. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 809 University Blvd E, Tuscaloosa, AL 35401. The listed phone number is (205) 759-6925.

What is Ryan Sullivan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Ryan Sullivan enrolled in Medicare?

Yes. Ryan Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Sullivan accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Ryan Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Sullivan affiliated with any hospitals?

According to CMS data, Ryan Sullivan is affiliated with Edward Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Sullivan was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.