DR. RANDALL GENE SULLIVAN MD
NPI 1114942653
Psychiatry & Neurology - Psychiatry in Omaha, NE

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
EMILE @ 42ND ST, OMAHA, NE 68198(402) 552-6007 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Dec 27, 2020, May 1, 2018 (3 updates tracked since 2018).

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, maintains 2 additional practice locations, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114942653
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RANDALL GENE SULLIVANCredential: MD
Location AddressEMILE @ 42ND STOmaha, NE 68198-5575
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
NPI 1114942653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NE · 17415 Licensed in NM · MD2018-0063 Licensed in ME · MD29920
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
EMILE @ 42ND ST, Omaha, NE 68198

Secondary Practice Locations 2

Location 125 June StSanford, ME 04073-2621 · Phone (207) 490-7000 · Fax (207) 490-7002
Location 2555 S Schwartz AveFarmington, NM 87401-5955 · Phone (505) 609-6680

Other Identifiers 3

OtherP00681749Railroad Medicare
Medicaid47066229013NE
Medicaid10025598700NE

Accepted Insurance

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

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.

PECOS PAC ID4183626823
PECOS Enrollment IDI20251212000764
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services21 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services23 patients

Physician 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.

New Patient
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Internal Medicine (Infectious Disease)
EMILE @ 42ND ST
OMAHA, NE 68198
Radiology (Vascular & Interventional Radiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Surgery (Surgical Critical Care)
EMILE @ 42ND ST
OMAHA, NE 68198
Pathology (Anatomic Pathology & Clinical Pathology)
EMILE @ 42ND ST
OMAHA, NE 68198
Physician Assistant
EMILE @ 42ND ST
OMAHA, NE 68198
Internal Medicine (Interventional Cardiology)
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE @ 42ND ST
OMAHA, NE 68198
Nurse Practitioner (Family)
EMILE @ 42ND ST
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.

What insurance does Randall Sullivan accept?

Health plans from 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.

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 9 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.