RYAN RICHARD SULLIVAN M.D.
NPI 1417085606
Allergy & Immunology - Allergy in Mount Pleasant, TN

Q: What is Ryan Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1417085606. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Ryan Sullivan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Sullivan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 01, 2007PECOS Enrolled

1012 MILL POND RD STE 200, MOUNT PLEASANT, TN 38474(615) 585-5546 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Nov 21, 2018 (2 updates tracked since 2018).

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About Ryan Richard Sullivan M.d. NPPES

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

RYAN RICHARD SULLIVAN M.D. (NPI 1417085606) is an individual allergy provider in Mount Pleasant, Tennessee, licensed in Tennessee (38819) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417085606

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameRYAN RICHARD SULLIVANCredential: M.D.

Location Address1012 MILL POND RD STE 200Mount Pleasant, TN 38474-1034

Mailing Address1012 Mill Pond RdMount Pleasant, TN 38474-1034 · (615) 585-5546

Phone(615) 585-5546

Sole ProprietorNo

Enumeration DateMarch 1, 2007

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1417085606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

License✔ Licensed in TN · 38819

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License S8124 (TX)

1012 MILL POND RD STE 200, Mount Pleasant, TN 38474

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Richard Sullivan M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group West Texas, PLLC

753 mi

Specialist

1665 ANTILLEY RD, # 200
Abilene, TX 79606

Reassigned Medicare billing, Texas enrollment
83 clinicians in this Medicare group

NPI 1346242567 (325) 793-5375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1417085606. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 1012 Mill Pond Rd Ste 200, Mount Pleasant, TN 38474. The listed phone number is (615) 585-5546.

What is Ryan Sullivan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Ryan Sullivan enrolled in Medicare?

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

Which organization bills Medicare for Ryan Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sullivan reassigns Medicare benefits to Privia Medical Group West Texas, PLLC (Abilene, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Sullivan accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas 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.

When was this NPI record last updated?

The NPPES record for Ryan Sullivan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.