Individual provider Active NPI

Ryan Thomas Hutchinson

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1437457405
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02004886A Issued in IN
Practice address
850 S Clark St
Unit 815
Chicago, IL 60605-1782
Phone
(317) 979-0891
NPI assigned
Mar 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02004886A IN Primary

Addresses

Primary practice location

850 S Clark St
Unit 815
Chicago, IL 60605-1782

Mailing address

850 S Clark St
Unit 815
Chicago, IL 60605-1782
Phone (317) 979-0891

Other identifiers 1

IdentifierTypeStateIssuer
207P00000XMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160713000919 IN Practitioner - Emergency MedicinePractitioner - Internal Medicine 2668764507
I20210528000724 TN Practitioner - Emergency Medicine 2668764507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004886AINMDEmergency Medicine Physician
4343TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

2127 Century Farms Pkwy
Antioch, TN 37013
Phone (615) 332-6198

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1437457405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S CLARK ST",
            "address_2": "UNIT 815",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051782",
            "telephone_number": "317-979-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S CLARK ST",
            "address_2": "UNIT 815",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051782",
            "telephone_number": "317-979-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004886A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207P00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.