PATRICIA M. SULLIVAN, MD, LLC
NPI 1053585661
Clinic/Center - Medical Specialty in Columbia, MD

Active since April 15, 2008
10796 HICKORY RIDGE RD, COLUMBIA, MD 21044(240) 535-8968 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patricia M. Sullivan, Md, Llc NPPES

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

PATRICIA M. SULLIVAN, MD, LLC (NPI 1053585661) is a healthcare organization registered as a medical specialty in Columbia, Maryland and active in the NPI registry since April 2008. The organization lists Patricia M Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1053585661
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePATRICIA M. SULLIVAN, MD, LLC
Location Address10796 HICKORY RIDGE RDColumbia, MD 21044-3646
Mailing Address10796 Hickory Ridge RdColumbia, MD 21044-3646 · (240) 535-8968
Organization SubpartNo
Authorized OfficialPatricia M SullivanPresident · (240) 535-8968
Enumeration DateApril 15, 2008
✔ NPI 1053585661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MD · D0055226
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
10796 HICKORY RIDGE RD, Columbia, MD 21044

Other Identifiers 1

Medicare UPING25532MD

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia M. Sullivan, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patricia M. Sullivan, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1124117270
10808 HICKORY RIDGE RD
Columbia, MD 21044
(410) 997-1475
✔ PECOSSame address

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

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 Patricia M. Sullivan, MD, LLC's NPI number?

The NPI number for Patricia M. Sullivan, MD, LLC is 1053585661. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Patricia M. Sullivan, MD, LLC located?

Patricia M. Sullivan, MD, LLC is located at 10796 Hickory Ridge Rd, Columbia, MD 21044. The listed phone number is (240) 535-8968.

What is Patricia M. Sullivan, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Patricia M. Sullivan, MD, LLC enrolled in Medicare?

Yes. Patricia M. Sullivan, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patricia M. Sullivan, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Patricia M. Sullivan, MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patricia M. Sullivan, MD, LLC was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.