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

Ryan Sisson-Smith, MD

Individual provider Pediatrics Physician · NPI 1548847015

Ryan Sisson-Smith, MD is a Hospitalist in Peoria, Illinois. Graduated from Indiana University School of Medicine in 2021, 5 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
5
Trained at
Indiana University School of Medicine
Licensed in
IL, IN
In the registry since
2021
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (130) 965-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 251 E Huron St Ste 16-738, Chicago, IL 60611-3055 — (312) 926-5924
  • 12750 Saint Francis Dr, Crown Point, IN 46307-0264 — (219) 757-6005

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036170233 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036170233 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 01096883A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (IL)

Record details

NPI number1548847015
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address2528 N College Ave, Indianapolis, IN 46205-4244

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE, PEDIATRIC MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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