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TERENCE P SULLIVAN MD
NPI 1073571584
Internal Medicine in Chicago, IL

Active since May 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 14D1036164 · Waiver
200 S MICHIGAN AVE, STE 830, CHICAGO, IL 60604(312) 922-2500(312) 922-2523 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Oct 13, 2020 (2 updates tracked since 2020).

About Terence P Sullivan Md NPPES

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

TERENCE P SULLIVAN MD (NPI 1073571584) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036081148) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 23, 2027, and is affiliated with Northwestern Lake Forest Hospital.

NPPES Registry Identity

NPI1073571584
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTERENCE P SULLIVANCredential: MD
Location Address200 S MICHIGAN AVE, STE 830Chicago, IL 60604-2404
Mailing Address200 S Michigan Ave Ste 830Chicago, IL 60604-2417 · (312) 922-2500 · Fax (312) 922-2523
Phone(312) 922-2500
Fax(312) 922-2523
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1988
Enumeration DateMay 3, 2006
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1073571584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036081148
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.
200 S MICHIGAN AVE, Chicago, IL 60604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1737 N Michigan Ave Ste 2200Chicago, IL 60611-6750 · Phone (312) 694-8090 · Fax (312) 694-8550

Other Identifiers 2

Other01634412IL · Bcbs
Medicaid036081148IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terence P Sullivan Md 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.

PECOS PAC ID4981648441
PECOS Enrollment IDI20050616000523
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1036164

Terence P Sullivan MD Sc · Chicago, IL
Active · expires Jan 23, 2027
CLIA Number14D1036164
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorTerence P. Sullivan
Laboratory Phone(312) 922-2500
Laboratory LocationTerence P Sullivan MD Sc200 S Michigan Ave-Suite 830, Chicago, IL 60604
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
178 services127 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services129 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
110 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
98 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
83 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services50 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
94%80 patients5/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
97%217 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%881 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,914 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
96%252 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%252 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%392 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
95%384 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%394 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 252 patients
8%252 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ELAINE LEBOFF-RIES M.D.
Internal Medicine
200 S MICHIGAN AVE, SUITE 805
CHICAGO, IL 60604
Cook County (312) 922-3815
GOLDSTEIN NEUROPSYCHOLOGISTS PC
Clinical Neuropsychologist
200 S MICHIGAN AVE, SUITE 710
CHICAGO, IL 60604
Cook County (312) 212-1776
STEVEN J. DEANGELES, M.D., S.C.
Internal Medicine
200 S MICHIGAN AVE, SUITE 830
CHICAGO, IL 60604
Cook County (312) 922-2500
DR. ANGELO ANDREW COSTAS M.D.
Internal Medicine
200 S MICHIGAN AVE, SUITE 805
CHICAGO, IL 60604
Cook County (312) 922-3815
DR. WENDY CAROLYN GOODALL MCDONALD MD
Obstetrics & Gynecology
200 S MICHIGAN AVE, SUITE 1550
CHICAGO, IL 60604
Cook County (312) 263-5517
DR. GREG DONALD EWERT M.D.
Internal Medicine
200 S MICHIGAN AVE, SUTIE 805
CHICAGO, IL 60604
Cook County (312) 922-3815
DR. THERESA WANG D.D.S.
Dentist
200 S MICHIGAN AVE, SUITE 1400
CHICAGO, IL 60604
Cook County (312) 939-8990
DR. STEVEN J DEANGELES MD
Internal Medicine
200 S MICHIGAN AVE, SUITE 830
CHICAGO, IL 60604
Cook County (312) 922-2500

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 Terence Sullivan's NPI number?

The NPI number for Terence Sullivan is 1073571584. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Terence Sullivan located?

Terence Sullivan practices at 200 S Michigan Ave Ste 830, Chicago, IL 60604. The listed phone number is (312) 922-2500.

What is Terence Sullivan's specialty?

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

Is Terence Sullivan enrolled in Medicare?

Yes. Terence 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.

Does Terence Sullivan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1036164) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Terence Sullivan affiliated with any hospitals?

According to CMS data, Terence Sullivan is affiliated with Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Terence Sullivan was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.