Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Michael Sullivan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104387869

Ryan Michael Sullivan is an Internal Medicine in Indianapolis, Indiana. Graduated from Marian University College of Osteopathic Medicine in 2019, 7 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Marian University College of Osteopathic Medicine
Licensed in
IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone: (317) 355-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 02006712A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104387869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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