Active NPI
Robert A Ryan, M.D.
- Surgery Physician
- Lake Forest, IL
National Provider Identifier
1437491396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036040532
- Practice address
- 1127 Forest Hill Rd
Lake Forest, IL 60045-4009 - Phone
- (847) 295-2541
- Fax
- (847) 295-2546
- NPI assigned
- Mar 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036040532 | IL | Primary |
Addresses
Primary practice location
1127 Forest Hill Rd
Lake Forest, IL 60045-4009
Mailing address
1127 Forest Hill Rd
Lake Forest, IL 60045-4009
Phone (847) 295-2541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1437491396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 FOREST HILL RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600454009",
"telephone_number": "847-295-2541",
"fax_number": "847-295-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 FOREST HILL RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600454009",
"telephone_number": "847-295-2541",
"fax_number": "847-295-2546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036040532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.