DONALD RICHARD SULLIVAN MD
NPI 1003019621
Internal Medicine - Pulmonary Disease in Portland, OR
About Donald Richard Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONALD RICHARD SULLIVAN MD (NPI 1003019621) is an individual pulmonary disease provider in Portland, Oregon, licensed in Oregon (MD151732) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Arizona College Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Donald Richard Sullivan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Donald Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Donald Sullivan's NPI number?
The NPI number for Donald Sullivan is 1003019621. It was assigned to this individual provider in the NPPES registry on June 10, 2007.
Where is Donald Sullivan located?
Donald Sullivan practices at 3181 SW Sam Jackson Park Rd Uhn67, Portland, OR 97239. The listed phone number is (503) 494-6949.
What is Donald Sullivan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Donald Sullivan enrolled in Medicare?
Yes. Donald Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Donald Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Sullivan reassigns Medicare benefits to University Professional Services (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Sullivan accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Donald Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Donald Sullivan affiliated with any hospitals?
According to CMS data, Donald Sullivan is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Donald Sullivan was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Donald Richard Sullivan, MD · NPI 1003019621
Pulmonary Disease physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 10, 2007.
## Identity
- **NPI:** 1003019621 (Entity type: Individual)
- **Enumerated:** June 10, 2007
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD151732 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, UHN67, Portland, OR 97239-3011
- **Phone:** (503) 494-6949
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2007
## Record status
- **NPPES last updated:** October 31, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1003019621) · Data from the CMS NPPES public registry.