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DAVID MATTHEW SULLIVAN MD
NPI 1003840497
Emergency Medicine in Charlotte, NC

Active since July 10, 2006PECOS Enrolled
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 47 more (50 updates tracked since 2017).

About David Matthew Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MATTHEW SULLIVAN MD (NPI 1003840497) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (97-01609) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003840497
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID MATTHEW SULLIVANCredential: MD
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-2171
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
✔ NPI 1003840497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 97-01609
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Clinical InformaticsTaxonomy 2083C0008X · License 97-01609 (NC)
1000 BLYTHE BLVD, Charlotte, NC 28203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Matthew Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show David Sullivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
General Acute Care Hospital
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1295789907 (704) 355-2000
Emergency Medicine Physicians Of Mecklenburg County, PLLC
8.0 mi
Emergency Medicine
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 230 clinicians in this Medicare group
NPI 1912232182 (330) 493-4443
Western Carolina Emergency Physicians, PLLC
38 mi
Emergency Medicine
301 YADKIN ST
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 144 clinicians in this Medicare group
NPI 1134391758 (704) 984-4000
The Carolinas Emergency Group, PLLC
125 mi
Emergency Medicine
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 373 clinicians in this Medicare group
NPI 1477508836 (910) 892-7161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
BROOKE STEPHANIK
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 David Sullivan's NPI number?

The NPI number for David Sullivan is 1003840497. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Sullivan located?

David Sullivan practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2171.

What is David Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Sullivan enrolled in Medicare?

Yes. David Sullivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sullivan reassigns Medicare benefits to 4 organizations: Carolinas Medical Center (Charlotte, NC), Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC), Western Carolina Emergency Physicians, PLLC (Albemarle, NC) and The Carolinas Emergency Group, PLLC (Dunn, NC). Each 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 David Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Sullivan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.