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TIMOTHY MICHAEL SULLIVAN MD
NPI 1063484061
Surgery - Vascular Surgery in Minneapolis, MN

Active since February 03, 2006
920 E 28TH ST, MINNEAPOLIS, MN 55407(612) 863-6800 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Michael Sullivan Md NPPES

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

TIMOTHY MICHAEL SULLIVAN MD (NPI 1063484061) is an individual vascular surgery provider in Minneapolis, Minnesota, licensed in Minnesota (44841) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063484061
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameTIMOTHY MICHAEL SULLIVANCredential: MD
Location Address920 E 28TH STMinneapolis, MN 55407-1139
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(612) 863-6800
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateNovember 14, 2011
✔ NPI 1063484061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in MN · 44841✔ Licensed in SD · 5847
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 5847 (SD), 44841 (MN)
920 E 28TH ST, Minneapolis, MN 55407
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Other Identifiers 1

Medicare PIN020002673MN

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.

SHELLEY M LENNOX M.D.
Internal Medicine (Pulmonary Disease)
920 E 28TH ST, SUITE 700
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-9062
JOSEPH MICHAEL FRANCHINO PA-C
Physician Assistant
920 E 28TH ST, STE. 400
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6900
ROBERT ALAN WIELAND MD
Internal Medicine
920 E 28TH ST, SUITE 190
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-1893
WHITNEY A EVAVOLD MD
Internal Medicine
920 E 28TH ST, SUITE 190
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-1893
JASON JAMES RASMUSSEN M.D.
Surgery
920 E 28TH ST, SUITE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6800
ROBERT MICHAEL BOWEN M.D.
Internal Medicine (Pulmonary Disease)
920 E 28TH ST, SUITE 700
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-9062
PETER BROWN ALDEN M.D.
Surgery (Vascular Surgery)
920 E 28TH ST, SUITE 300
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6800
CHRISTOPHER MACOMBER M.D.
Surgery
920 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-7770

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 Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1063484061. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 920 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-6800.

What is Timothy Sullivan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Timothy Sullivan was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.