DR. JOHN JOSEPH SULLIVAN MD
NPI 1053340372
Obstetrics & Gynecology - Gynecology in Cincinnati, OH
About Dr. John Joseph Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN JOSEPH SULLIVAN MD (NPI 1053340372) is an individual gynecology provider in Cincinnati, Ohio, licensed in Ohio (35.060447) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of University Of Cincinnati College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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. John Joseph 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.
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Jewish Hospital-Mercy Health
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45249 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Sullivan's NPI number?
The NPI number for John Sullivan is 1053340372. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is John Sullivan located?
John Sullivan practices at 11135 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 793-2220.
What is John Sullivan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is John Sullivan enrolled in Medicare?
Yes. John 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 John Sullivan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list John 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 John Sullivan affiliated with any hospitals?
According to CMS data, John Sullivan is affiliated with The Jewish Hospital-Mercy Health and Bethesda North.
When was this NPI record last updated?
The NPPES record for John Sullivan was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. John Joseph Sullivan, MD · NPI 1053340372
Gynecology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1053340372 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 35.060447 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11135 MONTGOMERY RD, Cincinnati, OH 45249-2308
- **Phone:** (513) 793-2220 · **Fax:** (513) 793-5933
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** August 22, 2016
- **Other identifiers:** Medicare UPIN F60590 (OH); Medicare ID-Type Unspecified 0743042 (OH); Medicaid 09714269030 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1053340372) · Data from the CMS NPPES public registry.