JASON PATRICK SULLIVAN DO
NPI 1063252955
Radiology - Diagnostic Radiology in Farmington Hills, MI

Q: What is Jason Sullivan's NPI number?

The NPI number for Jason Sullivan is 1063252955. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Q: What is Jason Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jason Sullivan was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 29, 2024PECOS Enrolled

28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(947) 521-8000 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Patrick Sullivan Do NPPES

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

JASON PATRICK SULLIVAN DO (NPI 1063252955) is an individual diagnostic radiology provider in Farmington Hills, Michigan, licensed in Michigan (5151016877) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063252955

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJASON PATRICK SULLIVANCredential: DO

Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919

Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919

Phone(947) 521-8000

Sole ProprietorNo

Enumeration DateMay 29, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1063252955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 5151016877

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

28050 GRAND RIVER AVE, Farmington Hills, MI 48336

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Patrick Sullivan Do 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 48336 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

PHYLLIS A SURMA RN

Registered Nurse (Diabetes Educator)

28050 GRAND RIVER AVE, TRACC
FARMINGTON HILLS, MI 48336

Oakland County (248) 471-8000

KAREN WATSON OTR/L

Occupational Therapist