DR. TIMOTHY JOHN SULLIVAN III M.D.
NPI 1023012911
Allergy & Immunology - Allergy in Ogden, UT

Q: What is Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1023012911. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD., STE 4640, OGDEN, UT 84403(801) 387-4850(801) 387-4855 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Timothy John Sullivan Iii M.d. NPPES

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

DR. TIMOTHY JOHN SULLIVAN III M.D. (NPI 1023012911) is an individual allergy provider in Ogden, Utah, licensed in Utah (8263858-1205) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1966).

NPPES Registry Identity

NPI1023012911

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameDR. TIMOTHY JOHN SULLIVAN IIICredential: M.D.

Location Address4403 HARRISON BLVD., STE 4640Ogden, UT 84403-3304

Mailing Address4403 Harrison Blvd., Ste 4640Ogden, UT 84403-3304 · (801) 387-4850 · Fax (801) 387-4855

Phone(801) 387-4850

Fax(801) 387-4855

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1966

Enumeration DateJune 8, 2005

Last NPPES UpdateJune 3, 2015

✔ NPI 1023012911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

Licenses✔ Licensed in UT · 8263858-1205✔ Licensed in GA · 037913

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

4403 HARRISON BLVD., Ogden, UT 84403

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Other Identifiers 5

Medicaid00570996CGA

Medicare PIN03BDBQSGA

Medicare PIN03BDBRLGA

Medicaid00570996FGA

Medicare UPIND97768

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy John Sullivan Iii M.d. 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.

PECOS PAC ID7214052802

PECOS Enrollment IDI20130320000742

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.

Areas of Expertise CMS Part B claims 10

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,768 services26 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

555 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

217 services143 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

185 services13 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

157 services103 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

69 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier12 claims24 services$18.25 avg. paid by Medicare

Injection, immune globulin (cuvitru), 100 mg J1555

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers12 claims3,360 services$11.72 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers21 claims6,900 services$9.48 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

3 suppliers24 claims96 services$2.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRICE JASON WILLIAMS M.D., PH.D.

Ophthalmology

4403 HARRISON BLVD., SUITE 3600
OGDEN, UT 84403

Weber County (801) 387-3550

BRICE J. WILLIAMS, M.D., P.C.

Ophthalmology

4403 HARRISON BLVD., STE-3600
OGDEN, UT 84403

Weber County (801) 387-3550

BRYSON S. SMITH M.D.

Neurological Surgery

4403 HARRISON BLVD., SUITE 1815
OGDEN, UT 84403

Weber County (801) 732-5930

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 Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1023012911. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 4403 Harrison Blvd. Ste 4640, Ogden, UT 84403. The listed phone number is (801) 387-4850.

What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Timothy Sullivan enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Sullivan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Timothy 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 Timothy Sullivan affiliated with any hospitals?

According to CMS data, Timothy Sullivan is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.