DR. RANDALL GENE SULLIVAN MD
NPI 1114942653
Psychiatry & Neurology - Psychiatry in Omaha, NE
About Dr. Randall Gene Sullivan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDALL GENE SULLIVAN MD (NPI 1114942653) is an individual psychiatry provider in Omaha, Nebraska, licensed in Nebraska (17415) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 3
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. Randall Gene 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.
Medicare Billing Reassignments
3Medicare enrollment records show Randall Sullivan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68198
- Reassigned Medicare billing, Nebraska enrollment
- 2,154 clinicians in this Medicare group
Aztec, NM 87410
- Reassigned Medicare billing, New Mexico enrollment
- 368 clinicians in this Medicare group
Norway, ME 04268
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OMAHA, NE 68198
OMAHA, NE 68198
OMAHA, NE 68198
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 Randall Sullivan's NPI number?
The NPI number for Randall Sullivan is 1114942653. It was assigned to this individual provider in the NPPES registry on July 13, 2006.
Where is Randall Sullivan located?
Randall Sullivan practices at Emile @ 42nd St, Omaha, NE 68198. The listed phone number is (402) 552-6007.
What is Randall Sullivan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Randall Sullivan enrolled in Medicare?
Yes. Randall 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 organizations bill Medicare for Randall Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Sullivan reassigns Medicare benefits to 3 organizations: Unmc Physicians (Omaha, NE), San Juan Regional Medical Center Inc (Aztec, NM) and Mainehealth (Norway, ME). Each 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 Randall Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Randall 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.
Is Randall Sullivan affiliated with any hospitals?
According to CMS data, Randall Sullivan is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Randall Sullivan was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Randall Gene Sullivan, MD · NPI 1114942653
Psychiatry physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1114942653 (Entity type: Individual)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 17415 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** EMILE @ 42ND ST, Omaha, NE 68198-5575
- **Phone:** (402) 552-6007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Unmc Physicians (NPI 1417912114, Omaha, NE); San Juan Regional Medical Center Inc (NPI 1861467433, Aztec, NM); Mainehealth (NPI 1447730247, Norway, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** October 14, 2025
- **Other identifiers:** Other P00681749; Medicaid 47066229013 (NE); Medicaid 10025598700 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1114942653) · Data from the CMS NPPES public registry.