DR. RYAN J SULLIVAN (MD) – Internal Medicine Physician, NPI 1881696003

DR. RYAN J SULLIVAN (MD) is a healthcare provider. based in Cambridge, Massachusetts. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 222743 (MA). The NPI Number for DR. RYAN J SULLIVAN (MD) is 1881696003

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN J SULLIVAN (MD)
NPI
1881696003
Phone
(617) 499-5112
Address
330 MT AUBURN ST
Enumeration Date
1 June 2005
Last Update Date
24 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
6172191200
Graduation Year
2001 (25 years ago)
PAC ID
2668423336
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20050210000189
Address ID
MA024621607NE2014XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

606 HEMATOLOGY/ONCOLOGY in MA

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Provider Addresses for DR. RYAN J SULLIVAN (MD)

  • Mount Auburn Hospital, 330, Mount Auburn Street, Coolidge Hill, Cambridge, Middlesex County, Massachusetts, 02138, United States

    CAMBRIDGE, MA 021385502

    Phone: (617) 499-5112

    Fax: (617) 575-8608

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $22,734.

Total Amount is formed as General ($14,349) + Research ($8,385) + Ownership ($0) = $22,734.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($10,832).

Total Amount

$22,734

General + Research + Ownership

Payments

16

Total payment records

General Amount

$14,349

General payments

Research Amount

$8,385

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050210000189IHematology/OncologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes280115$0
99214Established patient office or other outpatient visit, 30-39 minutes154107$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4513$0
View full utilization report →

Insurance plans in this area (ZIP 02138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

Is DR. RYAN J SULLIVAN (MD) listed with a National Provider Identifier?
Yes — DR. RYAN J SULLIVAN (MD) has NPI 1881696003 on file in the registry.
Would DR. RYAN J SULLIVAN (MD) appear as active to a payer?
You can treat DR. RYAN J SULLIVAN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. RYAN J SULLIVAN (MD)'s focus?
For DR. RYAN J SULLIVAN (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. RYAN J SULLIVAN (MD) located near Cambridge?
DR. RYAN J SULLIVAN (MD) currently maps to Cambridge, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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