Individual provider Active NPI

Sean V Ryan, MD

  • Vascular Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1629037288
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD071029L Issued in PA
Practice address
830 Old Lancaster Rd
Suite 101
Bryn Mawr, PA 19010-3118
Phone
(610) 527-1185
Fax
(610) 527-8759
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD071029L PA Primary

Addresses

Primary practice location

830 Old Lancaster Rd
Suite 101
Bryn Mawr, PA 19010-3118

Mailing address

PO Box 252
Bryn Mawr, PA 19010
Phone (610) 436-6529

Other identifiers 1

IdentifierTypeStateIssuer
1009932900001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040617000421 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 8921082819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgical Specialists PLLCGroup PAC ID 8123386703, 6 clinicians

Practice addresses (Care Compare)

1450 E Boot Rd
Suite 700a
West Chester, PA 19380-5962
Phone (610) 430-8272

Hospital & facility affiliations

  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Medical LLC Vascular Surgery CurrentSince Nov 1, 2025 Accepting new patients
Atlas Cardiovascular Care LLC Current Accepting new patients
Vascular Surgical Specialists PLLC Vascular Surgery CurrentSince Jan 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 1, 2023 Accepting new patients
Main Line Healthcare PastSince Feb 15, 2015 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 101
Bryn Mawr, PA 19010
Phone (610) 527-1185

931 E Haverford Rd
Ste 300
Bryn Mawr, PA 19010

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 220
Chester, PA 19013
Phone (610) 394-1889

255 W Lancaster Ave
Ste 332
Paoli, PA 19301
Phone (610) 641-9011

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1450 E Boot Rd
Ste 700A
West Chester, PA 19380
Phone (610) 430-8272

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1629037288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-436-6529",
            "fax_number": "610-436-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OLD LANCASTER RD",
            "address_2": "SUITE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103118",
            "telephone_number": "610-527-1185",
            "fax_number": "610-527-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SEAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD071029L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009932900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.