RACHEL AILEEN SULLIVAN MD
NPI 1023236494
Plastic Surgery in Providence, RI

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
235 PLAIN ST STE 203, PROVIDENCE, RI 02905(401) 649-4901(401) 649-4903 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel Aileen Sullivan Md NPPES

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

RACHEL AILEEN SULLIVAN MD (NPI 1023236494) is an individual plastic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD13340) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Washington University School Of Medicine (2003).

NPPES Registry Identity

NPI1023236494
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameRACHEL AILEEN SULLIVANCredential: MD
Location Address235 PLAIN ST STE 203Providence, RI 02905-3241
Mailing Address235 Plain St Ste 203Providence, RI 02905-3241 · (401) 649-4901 · Fax (401) 649-4903
Fax(401) 649-4903
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2003
Enumeration DateApril 23, 2007
Last NPPES UpdateNovember 9, 2010
NPI 1023236494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in RI · MD13340 Licensed in MA · 245997 Licensed in MD · D0069074
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
235 PLAIN ST STE 203, Providence, RI 02905

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

Rachel Aileen 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.

PECOS PAC ID6103014832
PECOS Enrollment IDI20101222000766
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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 5

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

Plastic Surgery (Surgery of the Hand)
235 PLAIN ST STE 203
PROVIDENCE, RI 02905
Surgery (Plastic and Reconstructive Surgery)
235 PLAIN ST STE 203
PROVIDENCE, RI 02905
Physician Assistant
235 PLAIN ST STE 203
PROVIDENCE, RI 02905
Plastic Surgery (Surgery of the Hand)
235 PLAIN ST STE 203
PROVIDENCE, RI 02905
Plastic Surgery
235 PLAIN ST STE 203
PROVIDENCE, RI 02905

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 Rachel Sullivan's NPI number?

The NPI number for Rachel Sullivan is 1023236494. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Rachel Sullivan located?

Rachel Sullivan practices at 235 Plain St Ste 203, Providence, RI 02905. The listed phone number is (401) 649-4901.

What is Rachel Sullivan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Rachel Sullivan enrolled in Medicare?

Yes. Rachel 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.

Is Rachel Sullivan affiliated with any hospitals?

According to CMS data, Rachel Sullivan is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Sullivan was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.