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DR. JEREMY TYSON SULLIVAN M.D.
NPI 1053379644
Internal Medicine in Carmel, IN

Active since May 03, 2006PECOS Enrolled
10601 WINTERWOOD, CARMEL, IN 46032(615) 478-3720 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Tyson Sullivan M.d. NPPES

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

DR. JEREMY TYSON SULLIVAN M.D. (NPI 1053379644) is an individual internal medicine provider in Carmel, Indiana, licensed in Indiana (01066525A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053379644
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEREMY TYSON SULLIVANCredential: M.D.
Location Address10601 WINTERWOODCarmel, IN 46032-8258
Mailing Address10601 WinterwoodCarmel, IN 46032-8258 · (615) 478-3720
Phone(615) 478-3720
Sole ProprietorYes
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1053379644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01066525A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License 35131 (TN)
10601 WINTERWOOD, Carmel, IN 46032
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Other Identifiers 1

Medicaid3865060TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Tyson Sullivan M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Jeremy Sullivan's NPI number?

The NPI number for Jeremy Sullivan is 1053379644. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jeremy Sullivan located?

Jeremy Sullivan practices at 10601 Winterwood, Carmel, IN 46032. The listed phone number is (615) 478-3720.

What is Jeremy Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeremy Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeremy Sullivan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.