Individual provider Active NPI

Alixandra V Ryan, MD

  • Internal Medicine Physician
  • Gulf Shores, AL
National Provider Identifier
1174254304
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49202 Issued in AL
Practice address
350 Cypress Bend Blvd Ste 104
Gulf Shores, AL 36542-9190
Phone
(251) 967-7690
Fax
(251) 967-7697
NPI assigned
Jun 20, 2022
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 49202 AL Primary

Addresses

Primary practice location

350 Cypress Bend Blvd Ste 104
Gulf Shores, AL 36542-9190

Mailing address

350 Cypress Bend Blvd Ste 104
Gulf Shores, AL 36542-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004749 AL Practitioner - Internal Medicine 6709386964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

188 Hospital Dr
Suite 402
Fairhope, AL 36532-2018
Phone (251) 279-1245

300 Greeno Rd S
Fairhope, AL 36532-1905
Phone (251) 929-3424

300 S Greeno Rd
Suite B
Fairhope, AL 36532-1905

350 Cypress Bend Blvd
Suite 104
Gulf Shores, AL 36542-2773
Phone (251) 929-3424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Imc-Eastern Shore Adult Medicine, LLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

350 Cypress Bend Blvd
Ste 104
Gulf Shores, AL 36542
Phone (251) 929-3424

Interoperability endpoints

  • Direct secure messaging: aryan114250@directinfirmaryhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1174254304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD STE 104",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365429190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CYPRESS BEND BLVD STE 104",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365429190",
            "telephone_number": "251-967-7690",
            "fax_number": "251-967-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALIXANDRA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "49202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

Verify at the official NPI Registry.