DR. RICHARD EDWARD SULLIVAN JR. D.C.
NPI 1063793933
Chiropractor in Mayfield Village, OH
About Dr. Richard Edward Sullivan Jr. D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD EDWARD SULLIVAN JR. D.C. (NPI 1063793933) is an individual chiropractor in Mayfield Village, Ohio, licensed in Ohio (4186) and active in the NPI registry since September 2011. He is a graduate of National University Of Arts And Sciences, Medical Department (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Richard Edward Sullivan Jr. D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mayfield Village, OH 44143
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Rivers Edge Chiropractic LLC
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
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 Richard Sullivan's NPI number?
The NPI number for Richard Sullivan is 1063793933. It was assigned to this individual provider in the NPPES registry on September 6, 2011.
Where is Richard Sullivan located?
Richard Sullivan practices at 701 Beta Dr Suite 18, Mayfield Village, OH 44143. The listed phone number is (773) 573-6525.
What is Richard Sullivan's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Richard Sullivan enrolled in Medicare?
Yes. Richard 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.
Which organization bills Medicare for Richard Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Sullivan reassigns Medicare benefits to River's Edge Chiropractic LLC (Mayfield Village, OH). The 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 Richard Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield, Providence Health Plan and UnitedHealthcare list Richard 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.
When was this NPI record last updated?
The NPPES record for Richard Sullivan was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Richard Edward Sullivan Jr., D.C. · NPI 1063793933
Chiropractor provider in Mayfield Village, Ohio. Individual provider, active in the CMS NPPES registry since September 6, 2011.
## Identity
- **NPI:** 1063793933 (Entity type: Individual)
- **Enumerated:** September 6, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4186 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 BETA DR, SUITE 18, Mayfield Village, OH 44143-2367
- **Phone:** (773) 573-6525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** River's Edge Chiropractic LLC (NPI 1699223966, Mayfield Village, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** National University Of Arts And Sciences, Medical Department, class of 2011
## Record status
- **NPPES last updated:** September 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063793933) · Data from the CMS NPPES public registry.